晚期干预II型内皮漏洞并不是由EVAR后的早期囊径或体积变化决定的
Bernard Sneyers1, Viktor Verbraeken1, Annouschka Laenen2
1Department of Radiology, University Hospitals KU Leuven, Leuven, Belgium and Department of Imaging & Pathology, KU Leuven, Leuven, Belgium.
Radiology and oncology
|November 28, 2024
概括
动脉瘤囊体积和直径测量可用于监测内血管动脉瘤修复 (EVAR) 后的II型内泄漏. 然而,任何测量的早期变化都不能预测未来干预的需要.
科学领域:
- 血管外科 血管外科
- 医疗成像医学成像
- 血管内干预 血管内干预
背景情况:
- 第二种类型的内皮漏洞是内血管动脉瘤修复 (EVAR) 后的并发症.
- 监测内皮囊变化对于患者管理至关重要.
- 重要的是要比较体积与直径测量的诊断准确性.
研究的目的:
- 为了比较动脉瘤囊体积与最大直径测量的诊断准确度和预测值.
- 为了评估这些测量在患者II型内泄漏后EVAR.
主要方法:
- 对103名II型内泄症后EVAR患者进行了回顾性研究.
- 计算机断层扫描扫描分析直径和体积在3个月和1年.
- 统计分析包括皮尔森相关性和曼-惠特尼U测试.
主要成果:
- 在直径和体积测量之间发现了很高的相关性 (Rho: 0.890-0.980,P < 0.0001).
- 37%的患者需要以后进行II型内皮炎的干预.
- 早期的直径或体积变化并不能预测后期干预的风险.
结论:
- 直径和体积测量都适合在EVAR后对II型内泄漏进行成像后续检查.
- 早期的囊体大小变化不能可靠地预测晚期干预的需要.
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