相关实验视频

Updated: May 6, 2026

A New Murine Model of Endovascular Aortic Aneurysm Repair

A New Murine Model of Endovascular Aortic Aneurysm Repair

Published on: July 7, 2013

不要把它们混起来! 用AFX内移植器对不同近端大动脉手的长期结果

Giulio Accarino¹, Aniello Enrico Puca², Antonia Rinaldi³

¹Vascular and Endovascular Surgery Unit, Ospedale San Giovanni di Dio e Ruggi D'Aragona, Salerno, Italy; Department of Public Health, Vascular Surgery Unit, University Federico II of Naples, Naples, Italy; Department of Medicine, Surgery and Dentistry, University of Salerno, Baronissi, Salerno, Italy.

Annals of vascular surgery

|November 24, 2024

概括

使用不同的设备制造商来修复腹腔大动脉动脉瘤会增加3A型内泄漏风险. 仔细的患者选择和监测对于混合设备EVAR (内血管动脉瘤修复) 是至关重要的.

科学领域:

血管外科血管外科
医疗器械技术医疗器械技术
大动脉动脉瘤治疗方法

背景情况:

腹腔大动脉瘤 (AAA) 需要血管内修复,通常使用无体内移植.
AFX内移植适合狭窄的分叉,但可能需要大动脉袖子来完全覆盖近壁部.
这项研究比较了所有Endologix与联合Endologix和Medtronic设备的结果.

研究的目的:

为了评估使用AFX内移植的EVAR的长期结果,与不同的大动脉袖子制造商进行了AFX内移植.
为了比较3A型内脏泄漏的发病率和群体之间的再干预率.

主要方法:

在134名AAA患者的回顾性研究中,他们接受了AFX内移植和上大动脉手套 (Endologix或Medtronic) 的EVAR.
根据袖口类型,患者被分为两组.
主要结局:3A型内泄;次要结局:任何内泄,重新干预,死亡率.

主要成果:

随访时间中位数为41个月.
3A型内泄漏发生在4.5%的患者中,在混合设备组 (12.8%) 中显著增加.
长期使用袖口增加了3A型内脏泄漏 (HR 16.5) 和重新干预 (HR 9.67) 的风险.

结论:

来自不同制造商的内脏移植组合可能会损害长期EVAR修复完整性.
混合设备配置需要谨慎和严格的患者随访.
设备材料和密封机制的差异可能会导致不良结果.

更多相关视频

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Full-root Aortic Valve Replacement by Stentless Aortic Xenografts in Patients with Small Aortic Roots

Published on: May 21, 2017

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

相关概念视频

Aneurysm III: Interprofessional Care

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...

Aneurysm IV: Nursing Management

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

Hemodialysis I: Introduction

Hemodialysis I: Introduction

Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...