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在内血管腹腔大动脉修复后的晚期开放转换的结果

Hironobu Nishiori¹, Tomohiko Inui¹, Michiko Watanabe¹

¹Department of Cardiovascular Surgery, Chiba University Hospital, Chiba, Japan.

Asian cardiovascular & thoracic annals

|January 7, 2025

概括

在内血管腹腔动脉瘤修复 (EVAR) 后的晚期开放转换是安全有效的,没有住院死亡. 动脉瘤修复提供较短的手术时间和较少的输血,与腹腔大动脉动脉瘤 (AAA) 的移植替代相比.

科学领域:

血管外科血管外科
血管内干预血管内干预
腹腔大动脉动脉瘤治疗方法

背景情况:

内血管腹腔动脉瘤修复 (EVAR) 侵袭性较小,但重新干预率高于开放修复.
调查EVAR后晚期开放转换的结果对于管理腹腔大动脉瘤 (AAA) 至关重要.

研究的目的:

评估EVAR后经过晚期开放转化,包括动脉瘤瘤,患者的早期和中期结果.
为了比较不同类型的内脏泄漏 (EL) 和EVAR后AAA扩张的手术策略.

主要方法:

对29名接受AAA扩张后EVAR晚期开放转换的患者进行了回顾性队列研究 (2015年4月至2022年3月).
手术策略包括为特定的内脏泄漏和动脉瘤瘤带分支绑定进行人工移植替换,用于II型EL.
收集了有关手术时间,输血量,术后并发症和死亡率的数据.

主要成果:

从EVAR到开放转换的平均时间为4.1年;没有报告住院死亡率.
与移植移植相比,动脉瘤学显示了较短的手术时间和较低的输血量.
术后并发症包括脊髓缺血 (1名患者) 和持续性/新发泄性内分泌 (3名患者) 的再干预.

结论:

晚期开放转换,包括动脉瘤变形,是AAA的EVAR之后的安全有效的程序.
动脉缩在治疗病例中有效减少了大动脉直径.
精心的手术前规划和量身定制的外科手术技术对于AAA管理的成功结果至关重要.

关键词:

晚期的开放转换.腹部大动脉动脉瘤腹部大动脉动脉瘤动脉瘤缩病变是什么意思大动脉带带的带化.血管内主动脉动脉瘤是血管内主动脉动脉瘤.

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