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内血管动脉瘤修复后的囊收缩:来自三个支架移植的多中心比较数据

Koichi Morisaki¹, Daisuke Matsuda², Ken Nakayama³

¹Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.

European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery

|June 14, 2025

概括

在EVAR后的一年内,与Endurant和Excluder设备相比,Aorfix支架移植的腹腔大动脉瘤 (AAA) 囊缩显著更高. 囊缩是成功内血管动脉瘤修复 (EVAR) 的可靠指标.

科学领域:

血管外科血管外科
血管内修复血管内修复
大动脉动脉瘤治疗方法

背景情况:

腹腔大动脉瘤 (AAA) 囊缩是成功内血管动脉瘤修复 (EVAR) 的关键指标.
对比不同的支架移植设备对于优化AAA治疗结果至关重要.

研究的目的:

在AAA的EVAR后,比较Aorfix,Endurant和Excluder支架移植器件之间的囊缩率.
在EVAR后一年内确定与囊缩相关的因素.

主要方法:

在2014-2021年期间,对444名接受EVAR治疗的患者进行了回顾性多中心队列研究.
对囊缩 (≥5mm直径下降) 和二次终点的分析,包括重新干预,Ia型内泄 (T1aEL),动脉瘤相关死亡 (ARD) 和整体存活率.
多变量分析以确定影响囊缩的因素.

主要成果:

一年袋收缩率为Aorfix的52.1%,Endurant的32.8%,以及Excluder的34.0% (p=.003).
使用Aorfix设备,更小的近接部直径,以及少于四条专利的腰椎动脉与增加的囊收缩有关.
在囊缩的患者中观察到更低的重新干预率和T1aEL.

结论:

与Endurant和Excluder设备相比,Aorfix支架移植在一年内显示出更高的囊缩率.
囊缩作为一个有价值的替代标记,减少了EVAR后的重新干预和Ia型内泄漏.
回顾性设计需要谨慎对待潜在的偏见.

关键词:

这是一个AAA的AAA.腹腔大动脉动脉瘤腹腔大动脉动脉瘤一个或固定.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囊收缩的原因

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