在下肢截肢前进行非侵入性血管评估的作用
Max Murray-Ramcharan1, Maria Guevara-Kissel1, Michelle Feltes Escurra1
1Department of Surgery, Harlem Hospital Center, Columbia University, New York, NY, USA.
Vascular
|May 3, 2025
概括
在下肢截肢 (LEA) 之前的术前非侵入性测试显示,主要不良肢体事件 (MALE) 或主要不良心血管事件 (MACE) 没有显著差异. 在接受和不接受测试的患者之间,结果相似.
科学领域:
- 血管外科 血管外科
- 心脏病学 心脏病学
- 医学成果研究研究成果
背景情况:
- 下肢截肢 (LEA) 的术前评估缺乏标准化的指导方针.
- 在LEA之前,非侵入性测试很少被使用.
研究的目的:
- 为了比较所有级别的LEA患者之间的结果,包括和没有手术前的非侵入性测试.
- 评估术前非侵入性检测与主要不良肢体事件 (MALE) 和主要不良心血管事件 (MACE) 的关联.
主要方法:
- 从2019年4月到2023年6月,对从2019年4月到2023年6月接受所有级别LEA的188名患者进行了回顾性分析.
- 根据手术前的非侵入性检测的存在或不存在,分为不同组进行分层.
- 人口统计数据,并发症和术后结果的比较,包括再血管化,再截肢,伤口并发症,死亡率,MALE和MACE.
主要成果:
- 接受手术前检测的患者的少数群体代表,血管疾病,高血压和脏/心脏并发病率较高.
- 两组之间在术后再血管化,再截肢率 (主要或全级),伤口并发症或死亡率方面没有发现显著差异.
- 大型和小型截肢的子分析也没有显示重新截肢,伤口并发症或MACE的显著差异.
结论:
- 在接受LEA.的患者中,手术前的非侵入性测试没有显著影响MALE或MACE.
- 类似的结果表明,在医学上脆弱的人群中可能有好处,这需要进一步调查.
- 需要进行前性研究来开发算法,以优化LEA的外科外科治疗结果.
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