在失败的内血管动脉瘤密封后进行开放性手术转换.
Sven R Mathisen1, Simen Tveten Berge1,2
1Department of Vascular Surgery, Innlandet Hospital Trust, Hamar, Norway.
Vascular health and risk management
|June 19, 2025
概括
在失败的内血管动脉瘤密封 (EVAS) 后的开放性手术转换 (OSC) 显示出高的技术成功. 选择性OSC程序比紧急转换产生更好的结果,强调监视和患者选择以改善结果.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 动脉瘤治疗 动脉瘤治疗
背景情况:
- 内血管动脉瘤密封 (EVAS) 是腹腔大动脉动脉瘤的开放修复的替代方案.
- EVAS内移植的失败需要进一步的干预,通常是开放式手术转换 (OSC).
研究的目的:
- 评估在内血管动脉瘤密封 (EVAS) 失败后的开放外科转换 (OSC) 的早期和晚期结果.
- 评估EVAS后与OSC相关的手术技术,发病率和死亡率.
主要方法:
- 在EVAS失败后接受OSC的46名患者的回顾性观察队列研究.
- 主要终点:技术程序成功和30天死亡率.
- 二级终点:并发症和初级假体的穿透性.
主要成果:
- 对于OSC的技术成功率为97.8%.
- 30天死亡率为可选的10.9%,急性OSC的75%.
- 平均存活时间为4.2年;69.6%的患者在4.7年时还活着,拥有专利假肢.
结论:
- 开放式手术转换是EVAS失败的可行选择,在选择性病例中获得更好的结果.
- 加强监测和多学科患者选择对于优化OSC结果至关重要.
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