在治疗B型大动脉剖析后的并发症TEVAR支架移植部署在2区
Xiao-Biao Zhou1, Xin Chen1, Zhan Wang1
1Department of Cardiovascular Surgery, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
BMC cardiovascular disorders
|February 11, 2025
概括
胸内血管大动脉修复 (TEVAR) 在B型大动脉剖析中有效,当在3区部署时. 然而,区域2部署显示出更高的并发症和重新干预率,使其不太推.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 血管内干预 血管内干预
背景情况:
- 乙型主动脉解剖是一种严重的疾病,影响主动脉.
- 胸内血管大动脉修复 (TEVAR) 是一种微创的治疗选择.
- 最佳的支架移植部署区域对于TEVAR结果至关重要.
研究的目的:
- 为了评估TEVAR对147名B型大动脉剖析患者的结果.
- 为了比较TEVAR在2区和3区部署支架移植时的疗效和安全性.
- 确定影响并发症和重新干预率的因素.
主要方法:
- 对147名接受TEVAR治疗B型大动脉剖析的患者进行系统审查.
- 在2区或3区部署支架移植.
- 随访使用计算机断层扫描血管学在1,3个月,每年.
- 使用SPSS.16.6. 的统计分析.
主要成果:
- 107名患者在3区部署,40名在2区部署.
- 在2.区,并发症率 (12/40比7/107) 和内脏泄漏率 (6/40比4/107) 较高.
- 在2区增加了再干预率 (8/40比4/107).
- 一年,三年和五年生存率分别为99.3%,98.6%和98.6%.
- 2区的再干预率与3区 (1.9-3.7%) 相比显著更高 (15-20%).
结论:
- TEVAR是B型主动脉解剖的主要治疗方法,当支架移植部署在第3区时.
- 在2区的TEVAR与更高的并发症和重新干预率有关.
- 由于风险增加,不建议使用Zone 2 TEVAR作为首选的治疗选择.
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