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扩大EVAR池与非IFU患者:主观医生评估有多重要?

Hasan Iner¹, Ismail Yurekli², Erturk Karaagac¹

¹Department of Cardiovascular Surgery, Ataturk Training and Research Hospital, Izmir Katip Celebi University, 35360 Karabaglar, Izmir, Türkiye.

Journal of clinical medicine

|February 26, 2025

概括

在制造商使用说明书 (IFU) 外的内血管动脉瘤修复 (EVAR) 增加了内脏泄漏和重新干预等风险,尽管5年生存率仍然相似. 对于非IFU EVAR决策而言,患者特定评估至关重要.

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) 旨在减少腹腔大动脉瘤 (AAA) 相关的并发症.
制造商使用说明书 (IFU) 通常被认为过于保守,导致一些中心偏离.
评估IFU内外进行的EVAR的结果对于优化患者护理至关重要.

研究的目的:

为了比较根据IFU治疗的患者和IFU以外治疗的患者的选择性EVAR的结果.
评估IFU遵守对外围手术干预,术后并发症和长期生存的影响.

主要方法:

在2014年至2019年间,对248名连续接受AAA选择性EVAR的患者进行了回顾性分析.
患者被分为两组:IFU合格 (n=190) 和非IFU (n=58) 的患者.
收集的数据包括基线人口统计,解剖适应性,手术内事件,术后内泄漏,再干预,并发症,EVAR通透率和5年生存率.

主要成果:

两组之间没有观察到基线人口统计或解剖学数据的显著差异.
非IFU组经历了明显更高的手术内内泄漏,术后内泄漏和再干预的比率.
虽然5年生存率相似,但IFU组的EVAR通透率更高.

结论:

偏离EVAR IFU与内脏泄漏的风险增加和重新干预的需要有关.
在考虑非IFU EVAR时,患者特定的评估和医疗判断至关重要.
由于潜在的大动脉变化和更高的并发症易感性,非IFU EVAR患者需要谨慎监测.

关键词:

埃瓦尔·埃瓦尔 (Evar Evar) 是一个人.国际货币基金组织 (IFU)腹部大动脉动脉瘤腹部大动脉动脉瘤这里是endoleakakak 的位置.其他非IFU的IFU.重新干预,重新干预

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