相关实验视频
Updated: May 3, 2026

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A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
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一个完全血栓化的腹腔大动脉动脉瘤病例系列
Raffaello Bellosta1, Giulia Anna Sala2, Marco Franchin2,3
1Vascular Surgery-Poliambulanza Hospital, Via Bissolati 57, 25124 Brescia, Italy.
Journal of cardiovascular development and disease
|March 26, 2025
概括
完全凝血的腹腔大动脉动脉瘤 (th-AAA) 是罕见的,发生在不到1%的病例中. 对th-AAA的开放性手术修复是安全有效的,没有表现出与大动脉相关的死亡率和长期耐用性.
科学领域:
- 血管外科 血管外科
- 腹腔大动脉动脉瘤 (AAA) 管理管理
- 手术结果研究研究.
背景情况:
- 完全凝血的腹腔大动脉动脉瘤 (th-AAA) 在外科文献中不常被描述.
- 了解th-AAA的发生率和结果对于患者管理至关重要.
研究的目的:
- 评估完全血栓化腹腔大动脉动脉瘤 (th-AAA) 的发生率.
- 报告一系列临床th-AAA的开放外科修复 (OSR) 的结果.
主要方法:
- 一个单一的中心,对连续的th-AAA的观察队列研究.
- 开放的修复使用一个穿关节的方法与达克龙针织移植替代.
- 随访包括临床访问和双重超声波,评估整体存活率和不需要主动脉相关的重新干预.
主要成果:
- 在2237个AAA修复中,确定了16个 (0.7%) 的th-AAA.
- 患者平均年龄为74岁;中位动脉瘤直径为49毫米.
- 在25%的病例中出现破裂;没有发生过早死亡或重大截肢.
- 在70个月的平均随访期内,观察到100%的无主动脉相关死亡率,没有移植并发症.
结论:
- 这种AAA的发病率小于1%.
- 尽管在25%的病例中发生破裂,但OSR证明了安全性和有效性.
- 长期的耐用性和与大动脉相关的死亡率的缺失支持th-AAA的OSR.
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