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提示和技巧,以促进晚期开放手术转换后内血管大动脉动脉瘤修复
Lazar B Davidovic1, Stefan Ducic2, Andrija Roganovic2
1Clinic for Vascular and Endovascular Surgery, University Clinical Center of Serbia, 11000 Belgrade, Serbia; Faculty of Medicine, University of Belgrade, 11000 Belgrade, Serbia.
Annali italiani di chirurgia
|December 26, 2024
概括
血管内主动脉修复后的晚期开放性手术转换 (LOSC) 是复杂的,并且具有更高的风险. 经验和专业中心对于管理这些具有挑战性的大动脉动脉瘤病例至关重要.
科学领域:
- 血管外科 血管外科
- 大动脉动脉瘤治疗方法
- 内血管外科 血管内血管外科
背景情况:
- 内血管修复对大动脉动脉瘤有好处,特别是在高风险患者中.
- 长期结果通常显示开放和内血管修复之间没有显著差异.
- 内血管修复与增加的再干预和潜在的晚期开放手术转换 (LOSC) 有关.
研究的目的:
- 在血管内主动脉修复后对晚期开放性手术转换 (LOSC) 的当前知识进行审查.
- 概述 LOSC 的指示,可能性和技术.
- 强调越来越需要专业知识来管理内血管后并发症.
主要方法:
- 关于内血管大动脉动脉瘤修复 (EVAR) 和胸部内血管大动脉修复 (TEVAR) 的当前文献的综述.
- 分析需要晚期开放性手术转换 (LOSC) 的并发症.
- 讨论LOSC的手术技术和管理策略.
主要成果:
- 虽然LOSC的发病率相对较低,但内血管手术的数量增加表明LOSC病例的增加.
- 内血管修复后的LOSC与较高的外科手术死亡率和并发症率有关,而不是初级开放修复.
- 专门的中心和经验丰富的外科医生对于成功的LOSC至关重要.
结论:
- 血管内主动脉修复的日益流行需要专注于管理晚期开放的外科转换.
- 洛斯克手术需要高水平的外科专业知识,应该在大量的医疗中心进行.
- 培训未来的血管外科医生在开放和内血管技术中,对于解决复杂的大动脉病例至关重要.
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