身高指数和直径作为腹腔大动脉动脉瘤男性的预测结果
Camilo Polania-Sandoval1, Houssam Farres1, Camila Esquetini-Vernon1
1Division of Vascular and Endovascular Surgery, Mayo Clinic, Jacksonville, Florida.
The Journal of surgical research
|April 23, 2025
概括
更大的腹腔大动脉瘤 (AAA) 直径预测中期并发症和修复后的重新干预. 大动脉高度指数 (AHI) 也可以独立预测这些结果,这表明AAA管理的个性化风险分层.
科学领域:
- 血管外科 血管外科
- 心血管医学 心血管医学
- 医疗成像医学成像
背景情况:
- 腹腔大动脉瘤 (AAA) 影响超过100万美国成年人.
- 目前的指导方针建议选择性修复男性AAA>5.5厘米.
- 动脉瘤直径 (AD) 是主要破裂预测因素,但索引测量可以改善风险分层.
研究的目的:
- 评估AD,大动脉尺寸指数 (ASI) 和大动脉高度指数 (AHI) 与大动脉相关并发症在选择性AAA修复后的男性患者之间的关联.
主要方法:
- 对接受开放性或内血管AAA修复的男性患者进行了回顾性队列研究 (2014-2024年).
- 排除破裂和囊状动脉瘤的情况.
- 主要结局:30天和中期的大动脉相关并发症和重新干预;使用双变量,考克斯回归和ROC曲线分析进行分析.
主要成果:
- 较大的AD (>5.5厘米) 与中期并发症和重新干预的增加有关.
- 考克斯回归:AD (HR: 2.13) 和AHI (HR: 3.26) 独立预测了中期并发症.
- AD (HR: 1.72) 和AHI (HR: 2.21) 独立预测了中期的重新干预.
结论:
- 增加的AD (>5.5厘米) 与更高的中期并发症和重新干预率相关.
- AD和AHI是中期并发症和重新干预的独立预测因素.
- 索引指标有助于对AAA修复进行个性化风险分层.
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