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Updated: May 13, 2025

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Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
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对于急性和慢性介质性缺血的内血管管理
Andrea Alonso1, Khuaten Maaneb de Macedo1, Jeffrey J Siracuse1
1Division of Vascular and Endovascular Surgery, Department of Surgery, Boston Medical Center, Boston University Chobanian and Avedisian School of Medicine, Boston, MA.
Annals of vascular surgery
|April 17, 2025
概括
内血管疗法 (EVT) 越来越多地用于介质性缺血症,比开放式手术有好处,特别是在慢性病例中. 长期结果需要进一步研究,患者特异性因素指导治疗选择.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 介肠性缺血需要及时有效的再血管化.
- 内血管治疗 (EVT) 是一种公认的治疗方法,具有众多优势.
- 本综述侧重于当前针对急性和慢性中肠缺血的EVT策略.
研究的目的:
- 审查内血管技术,以管理中肠缺血.
- 评估各种EVT选项,接入点和术后护理.
- 为了比较EVT在急性与慢性中肠缺血中的疗效.
主要方法:
- 关于内血管技术的综合文献综述.
- 对血管造形,支架,血栓切除,血栓溶解和混合方法的分析.
- 评估访问站点和程序后管理.
主要成果:
- EVT正在替代慢性中腹膜缺血的开放手术,并且在急性病例中越来越多.
- 技术的选择取决于疾病的慢性,并提供各种风险-益处概况.
- 短期的结果是积极的,但长期的透率和重新干预率令人担忧.
结论:
- EVT为中肠缺血提供了多功能复血管化,特别是在高危人群中.
- 虽然短期的结果是好的,但长期的复原和重新干预率更高.
- 考虑患者因素,病变特征和专业知识的个性化治疗决定至关重要;需要进一步的试验.
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