血管内超声波对B型大动脉剖析内血管治疗的影响:单中心回顾性研究
Alessia Di Girolamo1, Francesca Miceli1, Ada Dajci1
1Vascular and Endovascular Surgery Division, Department of General Surgery and Surgical Specialties, Policlinico Umberto I, Sapienza University of Rome, Viale del Policlinico, 155, 00161 Rome, Italy.
Annals of vascular surgery
|May 16, 2025
概括
血管内超声波 (IVUS) 提高了B型大动脉解剖 (TBAD) 内血管修复的技术成功. 使用IVUS与更少的并发症和重新干预有关,这突出了其在TBAD治疗中的好处.
科学领域:
- 心血管外科心血管外科
- 医疗成像医学成像
- 血管干预 血管干预
背景情况:
- 乙型大动脉剖析 (TBAD) 治疗通常涉及到内血管修复.
- 血管内超声波 (IVUS) 是各种心血管程序中的一个有价值的工具.
- 在TBAD内血管治疗中IVUS的具体益处需要进一步分析.
研究的目的:
- 评估使用IVUS在TBAD内血管治疗期间的好处.
- 为了比较用和没有手术内IVUS治疗的患者之间的结果.
主要方法:
- 75名接受内血管修复的TBAD患者的回顾性分析 (2015年1月至2024年1月).
- 患者被分为两组:术内IVUS (A组,38名患者) 和没有IVUS (B组,37名患者).
- 评估结果包括技术和临床成功,并发症率,再干预率和死亡率,平均随访时间为37.5个月.
主要成果:
- 在IVUS组 (100%) 的技术成功率高于没有IVUS组 (83.8%) 的技术成功率 (P < 0.0115).
- 总体而言,技术成功率为92%,其中8%需要辅助程序.
- 经手术后并发症和重新干预分别在7例和6例病例中被发现,有2例记录在30天内死亡.
结论:
- 在TBAD内血管修复中,术内IVUS利用对于精确的移植定位很重要.
- 在TBAD治疗中,IVUS的使用与减少并发症和重新干预率有关.
- IVUS增强了B型大动脉剖析内血管干预的安全性和有效性.
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