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在接受皮肤内血管动脉瘤修复 (EVAR) 的患者中使用大孔血管关闭装置的经验:一个多中心研究

Jacob Michiels¹, Maxim Peeters², Martine Uittenbogaart³

¹Division of Vascular Surgery, Department of Surgery, VieCuri Medical Centre, Venlo, The Netherlands.

Cardiovascular and interventional radiology

|April 28, 2025

概括

曼塔血管关闭装置 (VCD) 是安全有效的,可以在皮肤内血管动脉瘤修复 (pEVAR) 期间关闭常见的股骨动脉通道. 它在肥胖和非肥胖患者中显示了相似的成功率,表明了更广泛的适用性.

科学领域:

血管外科血管外科
干预心脏病学干预心脏病学
医疗器械医疗器械

背景情况:

内血管动脉瘤修复 (EVAR) 首选用于下大动脉动脉瘤,因为风险低于开放手术.
使用常见大腿动脉 (CFA) 访问的穿皮EVAR (pEVAR) 越来越受欢迎.
关于PEVAR中的MANTA血管闭塞装置 (VCD) 的数据有限,特别是在肥胖患者中.

研究的目的:

评估曼塔VCD在PEVAR中用于CFA关闭的安全性和有效性.
为了比较肥胖患者与接受PEVAR与MANTA VCD的非肥胖患者的结果.

主要方法:

在荷兰三家医院 (2018年10月至2022年12月) 进行PEVAR与MANTA VCD治疗的549名患者的回顾性分析.
患者根据BMI (肥胖≥30,非肥胖<30) 分类.
主要结果:技术上的成功;次要结果:访问站点的并发症.

主要成果:

总体技术成功率为98% (1024个CFA),并发症率为3.1%.
在肥胖患者中,技术成功率为98.9%,并发症率为1.5%.
肥胖患者的结果与非肥胖患者的结果相似.

结论:

在PEVAR中,MANTA VCD是有效和安全的CFA关闭,包括肥胖个体.
肥胖患者的良好结果表明,MANTA VCD在大孔穿皮手术中具有更广泛的适用性.
鉴于肥胖率的上升,这一发现很重要.

关键词:

埃瓦尔·埃瓦尔 (Evar Evar) 是一个人.血管内动脉瘤修复血管内动脉瘤修复曼塔血管闭塞装置 (MANTA) 是一种血管闭塞装置.肥胖问题肥胖问题通过皮肤的关闭.这是血管外科手术.

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