替代性自身静脉移植与下肢绕道手术中的单段大沙芬静脉-单中心研究
Ernest Biroš1, Robert Staffa1, Miroslav Krejčí1
12nd Department of Surgery, Centre for Vascular Disease, Faculty of Medicine, Masaryk University and St. Anne's University Hospital, Brno, Czech Republic.
Annals of vascular surgery
|January 29, 2025
概括
替代性自身静脉移植 (AAVGs) 在下肢绕道手术中显示出与单段大沙静脉 (ssGSV) 移植的中期通透性相似. 当ssGSV无法使用时,尽管再干预率更高,但AAVG是可行的选择.
科学领域:
- 血管外科 血管外科
- 再生医学是一种再生医学.
背景情况:
- 有混合的结果,比较了替代性自身静脉移植 (AAVGs) 与单段大沙静脉 (ssGSV) 移植.
- 当ssGSV无法使用时,最佳使用AAVGs需要进一步的证据.
研究的目的:
- 为了比较AAVGs与ssGSV在下肢旁路 (LEB) 手术中的结果.
- 为了评估AAVG和ssGSV移植之间的穿透率和无截肢生存率 (AFS).
主要方法:
- 2019年4月至2023年6月的一项单中心回顾性队列研究.
- 包括使用AAVG (手臂,拼接或手臂腿静脉) 或ssGSV进行下 inguinal 绕道术的患者.
- 终点包括初级,初级辅助和二级通透率,以及AFS.
主要成果:
- 65名患者接受了AAVGs,247人接受了ssGSV移植;83.1%的AAVG接受者患有慢性肢体威胁性缺血症 (CLTI).
- 三年穿透率 (初级,辅助,二级) 在AAVG和ssGSV组之间没有显著差异.
- 在CLTI患者中,两种移植类型的无截肢存活率也相似.
结论:
- 当ssGSV无法为LEB提供时,AAVG是合适的第一个管道选择.
- 尽管再干预率更高,但AAVG的中期通透率与ssGSV相当.
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