臂动脉动脉瘤的表现,治疗和结果
Anita Zheng1, Indrani Sen2, Randall De Martino3
1Department of Surgery, Mayo Clinic, Rochester, MN; Department of Cardiovascular Surgery, Mayo Clinic Health System, Eau Claire, WI.
Journal of vascular surgery
|January 12, 2025
概括
真正的手臂动脉动脉瘤很少见,通常与动脉静脉有关. 建议在有症状的病例和选择的无症状动脉瘤中进行手术修复,显示出良好的结果.
科学领域:
- 血管外科 血管外科
- 动脉瘤管理 动脉瘤管理
- 动脉的重建 动脉的重建
背景情况:
- 动脉动脉瘤不常见,原因包括创伤,感染和动脉静脉囊的产生.
- 它们可能无症状,或伴有疼痛或血栓栓塞事件.
- 由于它们的稀有性,没有标准化的管理指南存在.
研究的目的:
- 审查真正的臂动脉动脉瘤的管理和结果.
- 确定患者的人口统计和与这些动脉瘤相关的风险因素.
- 评估手术修复的有效性和安全性.
主要方法:
- 在2000年8月至2022年7月期间,对23名被诊断患有真正臂动脉动脉瘤的患者进行了回顾性审查.
- 收集人口统计数据,成像发现和操作细节.
- 分析手术修复技术和术后结果.
主要成果:
- 18名患者 (78%) 接受了手术修复,使用了各种移植材料.
- 手术后并发症很少 (11%),包括伤口感染和血液瘤.
- 移植透视率为77%,平均随访时间为2.4年.
- 非手术治疗的无症状患者有不同的结果,包括动脉瘤血栓形成.
结论:
- 动脉动脉瘤在有动脉静脉或结缔组织疾病史的男性中更为普遍.
- 建议在有症状的动脉瘤和选定的无症状病例 (例如,直径>2.5厘米与血栓) 进行手术修复.
- 手术修复显示出较低的发病率和可接受的长期通透率.
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