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当前的随访间隔是否合理在非突发性大动脉手术的患者?

Joseph Kletzer^1,2, Tim Berger^1,2, Stoyan Kondov^1,2

¹Department of Cardiovascular Surgery, University Hospital Freiburg Heart Centre, Freiburg, Germany.

Interdisciplinary cardiovascular and thoracic surgery

|December 28, 2024

概括

大动脉手术后的第一个6个月的随访对于检测并发症至关重要. 如果跳过这个访问,可能会错过大动脉事件,可能会伤害患者,需要重新干预.

科学领域:

心血管外科心血管外科
血管外科血管外科
医学成像和诊断医学成像和诊断

背景情况:

大动脉治疗后的监测协议缺乏明确的证据.
最初的6个月后续访问的临床相关性需要分析.

研究的目的:

为了分析第一个随访的临床意义,在6个月前大动脉治疗后的第一个随访.
确定跳过6个月随访对患者结果的影响.

主要方法:

对464名因非突发性大动脉病理而接受治疗的患者的回顾性分析 (2018年1月 - 2019年12月).
对大动脉事件的调查,包括死亡,重新干预,内脏泄漏,动脉瘤和直径进展.
应用一个离散时间不均的马尔科夫链模型来评估错过后续检查的风险.

主要成果:

在6个月后,15.31%的内血管患者发生了大动脉事件,而0.59%的开放手术患者.
马尔科夫模型表明,4.75%的患者在6个月后经历了事件,重新干预或死亡.
60名患者跳过了6个月的访问,可能会导致未被注意到的重新干预指示;24人未被注意到的并发症.

结论:

在选择性内血管或开放性大动脉手术后,六个月的随访至关重要.
延长间隔的风险是错过的大动脉事件的显著增加.
为了平衡后续费用/辐射和早期干预的好处,需要进一步的研究.

关键词:

埃瓦尔·埃瓦尔 (Evar Evar) 是一个人.德瓦尔 (TEVAR) 是一个大动脉事件发生.并发症可能导致并发症.后续行动后续行动开放式手术是开放式手术.监控监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督监督

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