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腹腔大动脉动脉瘤与敌对动脉接入的内血管治疗:一个多中心回顾性研究
Xingyi Tang1, Jiaxuan Feng2, Yubin Li3
1Department of Vascular Surgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Annals of vascular surgery
|November 23, 2024
概括
低调的内脏移植证明了在患有具有挑战性的敌对接入动脉的患者中,对腹腔大动脉动脉瘤 (AAA) 的内血管修复的安全性和有效性. 这项研究证实了它们在复杂病例中的可行性,提供了一个有前途的治疗选择.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 大动脉动脉瘤修复修复
背景情况:
- 具有挑战性的通道动脉 (狭窄或曲) 复杂化腹腔大动脉动脉瘤 (AAA) 的内血管修复.
- 低调的内脏移植为这些复杂的解剖学场景提供了潜在的解决方案.
研究的目的:
- 评估低调内移植在AAA修复与敌对接入动脉的安全性和有效性.
- 记录患有狭窄或曲的血管的患者的临床结果.
主要方法:
- 76名接受内血管大动脉修复 (EVAR) 的患者的回顾性分析.
- 纳入标准:狭窄 (直径≤6.0毫米) 或曲的通道.
- 主要终点:技术上的成功,内脏泄漏,封闭,重大不良事件. 二级终点:迁移,骨折,进入并发症,囊缩.
主要成果:
- 在96.1%的案件中取得了技术上的成功.
- 重新干预的低率 (遮为5.2%) 和无症状的II型内分泌 (10.5%).
- 无论通道动脉的特征如何 (狭窄,曲或两者兼而有之);整体存活率为98.7%.
结论:
- 低调的内脏移植是安全和有效的EVAR在具有挑战性进入动脉的患者.
- 这种方法为复杂的AAA案件提供了可行的选择.
- 进一步的研究支持在困难的血管解剖学中使用它们.
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