静脉收获技术与主要的肢体不良事件无关
Andrew Lee1, Catherine Go2, Frank Annie3
1Department of Surgery, Charleston Area Medical Center/West Virginia University, Charleston, WV.
Journal of vascular surgery
|July 25, 2025
概括
用于下肢绕行术 (LEB) 的内视血管静脉采集 (EVH) 和开放静脉采集 (OVH) 技术,在主要不良肢体事件 (MALE) 和无MALE生存率 (MFS) 中显示出类似的结果. 需要对EVH的经济影响和患者满意度进行进一步的研究.
科学领域:
- 血管外科 血管外科
- 手术技巧 手术技巧
- 肢体再血管化 肢体再血管化
背景情况:
- 静脉管道对于下肢旁路 (LEB) 非常重要.
- 最佳的静脉移植收获技术仍在争论中.
- 对于患者的结果,内镜血管静脉采集 (EVH) 和开放静脉采集 (OVH) 的比较至关重要.
研究的目的:
- 为了比较EVH与OVH对LEB主要不良肢体事件 (MALE) 和MALE无生存率 (MFS) 的影响.
- 评估二次结果,包括感染率,手术时间和停留时间.
主要方法:
- 对284名LEB患者 (2013-2022) 的回顾性审查.
- 患者分为EVH (n=80) 和OVH (n=204) 组.
- 卡普兰-梅尔和对MALE和MFS的日志等级分析;对相关因素进行调整分析.
主要成果:
- 在1年和3年内,在EVH和OVH之间,在MALE或MFS中没有统计学上显著的差异.
- 类似的30天感染率,估计的血液损失,出院状态和停留时间.
- 经过调整后的分析证实收获技术没有影响MALE或MFS;绕道位置和段数是重要的因素.
结论:
- 与OVH相比,EVH没有提供更好的感染率或停留时间.
- 无论是EVH还是OVH都不会显著影响MALE或MFS.
- 需要进一步研究经济影响和患者满意度,以澄清EVH的作用.
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