在Frozenix中期形态变化
Takanobu Kimura1, Hiroshi Tsuneyoshi1, Shuji Setozaki1
1Department of Cardiovascular Surgery, Shizuoka Prefecture General Hospital, 4-27-1 Kita-ando, Aoi, Shizuoka, Shizuoka, Japan.
概括
冷的大象干支架在手术后可能会扩大,可能导致并发症. 仔细的尺寸和长期成像对于管理这些大动脉门修复至关重要.
科学领域:
- 心血管外科心血管外科
- 生物医学工程 生物医学工程
- 放射学 放射学是一门学科.
背景情况:
- 冷大象干 (FET) 技术是对大动脉弧动脉瘤和剖析的标准治疗方法.
- 潜在的辐射力和FET支架的弹可以导致形态变化和支架诱导的新进入 (SINE).
研究的目的:
- 评估FET支架安置中的术后形态变化.
- 为FET支架行为提供生物力学见解.
主要方法:
- 对107名接受FET安置 (Frozenix) 的患者进行了回顾性分析.
- 通过计算机断层扫描 (CT) 评估临床结果和形态变化.
- 测量远距离直径和支架角度以量化变化.
主要成果:
- 三十天死亡率为3%;所有原因死亡率为9.69/100患者年.
- 支架诱导的新进入 (SINE) 发生在7%的患者中.
- 在所有95名被评估的患者中观察到距离直径扩大,其中62%超过原始支架大小;剖析显示扩张大于动脉瘤.
- 在所有33名被评估的患者中,支架角都增加了,在3年内逐渐发生变化.
结论:
- 手术后的远距离直径扩大和渐进的支架角度变化是FET安置后的重要发现.
- 这些形态变化需要在支架大小和手术规划过程中仔细考虑.
- 建议进行长期CT随访,以监测FET行为.
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