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在患有固体器官损伤的患者中对中度粗胸前大动脉损伤的管理

Nicolas A Stafforini¹, Emerald Toth², Niten Singh¹

¹Division of Vascular Surgery, Department of Surgery, University of Washington, Seattle, WA.

Journal of vascular surgery

|May 10, 2025

概括

中度粗胸前动脉损伤 (BTAI) 和固体器官损伤 (SOI) 的患者可以安全地接受胸内血管动脉修复 (TEVAR). 这种方法不会增加并发症风险,尽管它可能会延长住院时间.

科学领域:

创伤外科手术创伤外科
血管外科血管外科
紧急医疗紧急医疗

背景情况:

形胸前动脉损伤 (BTAI) 是创伤死亡的一个重要原因.
BTAI被分为最小,中度或严重.
同时发生的固体器官损伤 (SOI) 复杂化了BTAI的管理.

研究的目的:

评估胸内血管大动脉修复 (TEVAR) 在中度BTAI和并发性SOI患者的安全性和结果.
分析SOI对TEVAR时间,并发症和患者结果的影响.
评估在接受TEVAR治疗的患者中管理SOI的机构协议.

主要方法:

对接受TEVAR治疗中度BTAI的患者的一项回顾性单中心研究 (2015年3月 - 2023年12月).
识别SOI及其等级,遵守机构SOI协议.
终点包括手术时间,结果和再干预率.

主要成果:

在88名TEVAR患者中,有46%的中度BTAI患者同时患有SOI (肝脏,脏,脏).
在手术内肝素化或两组之间的结果中没有显著差异.
一个与SOI相关的出血并发症,SOI患者的住院时间较长;没有与大动脉相关的死亡率.

结论:

带有全身肝素化的TEVAR对于中度BTAI患者具有SOI是安全的.
没有观察到与并发性SOI同时出现并发症的风险增加.
长期住院强调了管理这些重症患者的复杂性.

关键词:

粗的大动脉损伤的损伤.固体器官受伤固体器官受伤德瓦尔 (TEVAR) 是一个血管创伤是一种创伤.

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