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Updated: Sep 14, 2025

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Assessment of Vascular Function in Patients With Chronic Kidney Disease
Published on: June 16, 2014
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从双国数据链接研究中,接受慢性脏替代疗法的患者选择性内血管动脉瘤修复的结果
Darcy Hinde1, Dharmenaan Palamuthusingam2, Carmel M Hawley3
1Metro North Kidney Health Service, Royal Brisbane and Women's Hospital, Herston, Queensland, Australia.
Journal of vascular surgery
|July 19, 2025
概括
接受选择性内血管大动脉动脉瘤修复 (EVAR) 的功能衰竭患者面临高死亡率和并发症率. 血液透析患者的30天风险最大,强调需要仔细评估风险和益处.
科学领域:
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 公共卫生 公共卫生
背景情况:
- 内血管大动脉动脉瘤修复 (EVAR) 是对腹部大动脉动脉瘤 (AAA) 的常见治疗方法.
- 慢性脏替代疗法 (KRT) 患者代表了与EVAR相关的潜在更高风险的脆弱人群.
研究的目的:
- 确定澳大利亚和新西兰下AAA的选择性EVAR接受功能衰竭患者的死亡率和非致命并发症率.
- 为了比较不同KRT模式的结果.
主要方法:
- ANZDATA和国家卫生数据集 (2000-2015年) 的回顾式双国数据链接.
- 鉴定了接受KRT并接受AAA的EVAR的患者.
- 使用后勤回归分析了人口统计,KRT模式,死亡率和非致命并发症.
主要成果:
- 367名KRT患者接受了397次EVAR手术,54%是可选的.
- 选择性EVAR的30天死亡率为2.7%,在血液透析 (HD) 患者 (4.2%) 中最高.
- 12个月死亡率为18.3%,HD和腹腔透析 (PD) 患者的风险相似. 感染性并发症比心血管性并发症更常见.
结论:
- 在选择性EVAR后,慢性KRT患者经历了显著的发病率和死亡率.
- 这些风险必须在共同的决策中考虑在该群体的AAA管理中.
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