在外周动脉疾病中混合重血管化程序的短期和长期结果:系统审查协议
Maram Darwish1,2, Huw Owain Davies3, Emily Morgan4,5
1Vascular Surgery, Cardiff and Vale University Health Board, Cardiff, UK.
BMJ open
|June 19, 2025
概括
本系统性审查评估了对外围动脉疾病 (PAD) 混合重血管化的长期结果. 它旨在提供关于穿透性,肢体救援,生存和并发症的证据,以指导临床实践.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 系统审查方法论 系统审查方法论
背景情况:
- 周围动脉疾病 (PAD) 是一种普遍的疾病,与显著的发病率和死亡率有关.
- 混合重血管,结合开放的手术和内血管技术,越来越多地用于复杂的PAD.
- 对于混合重血管化手术,长期结果数据有限.
研究的目的:
- 系统地评估PAD患者混合重血管化的长期结果.
- 评估关键指标,包括穿透率,肢体救援,存活率,再干预率和并发症.
- 为临床实践和PAD管理的未来研究提供基于证据的见解.
主要方法:
- 遵守系统审查和元分析 (PRISMA) 准则的首选报告项目.
- 包括随机对照试验,队列研究,病例对照研究和至少1年后续的大型病例系列.
- 在主要数据库 (PubMed,Embase,Cochrane Library,CINAHL,ClinicalTrials.gov) 进行全面的文献搜索,独立提取数据和质量评估.
主要成果:
- 主要结局包括穿透率,肢体救援和生存.
- 二次结果包括并发症率,功能改善和生活质量.
- 将采用元分析和叙事综合,并通过子组分析探索影响因素.
结论:
- 该审查将综合有关PAD混合重血管化的有效性和安全性的现有证据.
- 结果将为临床决策提供信息,并确定进一步研究的领域.
- 这项研究旨在提高对这种复杂的PAD治疗方法的长期结果的理解.
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