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A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
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无症状腹腔大动脉动脉瘤的内血管与开放性修复:一个12年的追溯队列分析
Khamin Chinsakchai1, Duangruthai Thorthititum1, Kiattisak Hongku1
1Faculty of Medicine Siriraj Hospital, Division of Vascular Surgery, Department of Surgery, Mahidol University, Bangkok, Thailand.
Annals of vascular surgery
|December 28, 2024
概括
内血管动脉瘤修复 (EVAR) 与无症状腹腔大动脉动脉瘤 (AAA) 的开放动脉瘤修复 (OAR) 不相差,早期并发症较少. 长期结果有所不同,需要针对EVAR和OAR患者进行量身定制的监测.
科学领域:
- 血管外科 血管外科
- 医疗器械技术 医疗器械技术
- 患者研究成果研究结果
背景情况:
- 内血管动脉瘤修复 (EVAR) 越来越多地用于无症状腹腔大动脉动脉瘤 (AAA).
- 对无症状AAA的EVAR和开放性动脉瘤修复 (OAR) 的比较至关重要.
研究的目的:
- 在无症状AAA患者中比较EVAR与OAR的早期和晚期结果.
- 评估EVAR与OAR在30天死亡率方面的非劣势.
主要方法:
- 对564名患者 (2010-2022) 的回顾性观察队列研究.
- 主要结局:30天和住院死亡率.
- 二次结果:手术细节,住院,并发症,长期存活.
- 对30天死亡率进行后期非劣势分析.
主要成果:
- EVAR患者年龄较大,对OAR不太适合.
- EVAR显示了更短的手术时间,更少的血液损失和更短的住院时间.
- 30天死亡率:0.9% (EVAR) 与3.4% (OAR) 相比;EVAR没有劣势.
- EVAR的早期并发症较少,但与动脉瘤相关的晚期并发症更多;OAR的晚期腹腔切除术相关的并发症更多.
结论:
- 在无症状AAA患者的30天死亡率上,EVAR不低于OAR.
- EVAR提供了外科手术期间的优势和较少的早期并发症.
- 长期并发症的概况不同,需要对特定程序进行监测.
- 对于高风险患者来说,Evar是一种有价值的选择.
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