在CREST-2注册表中,用开放式与封闭式支架细胞配置进行动脉支架
Brajesh K Lal1, Gary S Roubin2, James F Meschia3
1Department of Vascular Surgery, University of Maryland School of Medicine, Baltimore, MD.
Journal of vascular surgery
|March 2, 2025
概括
与开放细胞支架相比,关闭细胞支架在动脉支架 (CAS) 中对原发性病变的中风或死亡风险较低. 然而,这种差异并没有观察到静止病变的病变.
科学领域:
- 心血管医学 心血管医学
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 动脉支架 (CAS) 是一种预防中风的程序.
- 支架的设计,特别是开放细胞与封闭细胞的配置,可能会影响程序的结果.
- 之前对支架类型的比较已经给出了关于临床结果的不确定的结果.
研究的目的:
- 为了比较使用开放细胞与封闭细胞支架的动脉支架 (CAS) 的临床结果.
- 评估支架细胞设计对周围手术中风或死亡 (SD) 的影响.
主要方法:
- 在CREST-2-注册 (C2R) 中,注册了接受CAS.的患者.
- 收集了有关患者特征,程序细节和结果的数据.
- 多变量逻辑回归分析了支架细胞配置和30天SD之间的关联,调整了共变量.
主要成果:
- 在5307项手术中,2054项使用了开放细胞支架,3253项使用了闭细胞支架.
- 术周中风或死亡 (SD) 在原发性病变中与开放细胞支架 (3.5%) 与闭细胞支架 (2.2%) 相比显著更高.
- 对于静脉性病变,在支架类型之间没有发现SD的显著差异.
结论:
- 支架的设计影响了外围手术中风或CAS中的死亡率.
- 闭细胞支架与原发性动脉样硬化病变的发生率较低有关.
- 封闭细胞支架的好处在复缩症的设置中没有被证明.
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