经验2区门置换,其次是胸内血管大动脉修复
Arjune Dhanekula1, Bret DeGraaff1, Rachel Flodin1
1Division of Cardiothoracic Surgery, University of Washington, Seattle, Washington.
Aorta (Stamford, Conn.)
|November 26, 2024
概括
开放区2大动脉门置换是一种安全有效的程序,用于各种大动脉病理,促进未来的内血管修复. 这种方法为复杂的大动脉形状提供了一个可行的选择.
科学领域:
- 心血管外科心血管外科
- 胸部外科手术 胸部外科手术
- 血管外科 血管外科
背景情况:
- 横向开放性大动脉门置换是一种复杂的手术.
- 2区的门替换与近端脱枝正在获得越来越多的受欢迎.
- 对于这种技术的当代发病率和死亡率存在有限的数据.
研究的目的:
- 为了评估接受开放区域2大动脉门置换的患者目前的结果.
- 评估与这种手术方法相关的发病率和死亡率.
主要方法:
- 142名接受2区门置换的患者的回顾性评估 (2019年1月至2023年6月).
- 指示包括动脉瘤疾病,急性大动脉综合征和剖析.
- 评估手术特征,随后的胸内血管大动脉修复 (TEVAR) 率,死亡率和主要发病率.
主要成果:
- 住院死亡率为7.8%.
- 卒中发生在9.2%的患者中,脊髓缺血发生在3.5%的患者中.
- 38.7%的患者接受了随后的TEVAR.
结论:
- 区域2门置换使胸前大动脉能够分阶段修复,并适应未来的TEVAR.
- 这种程序对于各种患者病理是安全的.
- 由于其安全性,心脏外科医生应该更频繁地考虑这种方法.
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