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复杂的大动脉动脉瘤:定制和现成窗口内移植的作用
1Mansoura Manchester Program for Medical Education [MMPME], Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Annals of cardiac anaesthesia
|August 5, 2025
概括
定制和现成的窗口内移植为复杂的大动脉动脉瘤提供了明显的优势. 本综述比较了它们的临床结果,并发症和成本效益,以指导治疗策略.
科学领域:
- 血管外科 血管外科
- 医疗器械技术 医疗器械技术
- 卫生经济学 卫生经济学
背景情况:
- 复杂的大动脉动脉瘤涉及至关重要的分支血管,使治疗具有挑战性.
- 窗口内移植是这些复杂病例的开放手术的替代方案.
- 存在两种类型:定制和现货,每个都有独特的特点.
研究的目的:
- 为了评估定制与现成的窗口内移植的作用.
- 为了比较临床结果,并发症和成本效益.
- 审查窗口内移植技术的技术进步.
主要方法:
- 在PubMed,Scopus和谷歌学者 (2000-2024) 的系统文献搜索.
- 关键词:复杂的大动脉动脉瘤,窗口内移植,定制内移植,现货内移植.
- 关于结果,并发症和技术的数据提取.
主要成果:
- 定制的窗口内移植提供了解剖学精度,但准备时间更长,成本更高.
- 现成的窗口内移植提供更快的部署和更低的成本,但可能不太适合高度复杂的解剖学.
- 分析临床结果,并发症和技术趋势.
结论:
- 定制和现成的窗口内移植都在治疗复杂的大动脉动脉瘤方面发挥着作用.
- 选择取决于动脉瘤的复杂性,患者的解剖学和资源的可用性.
- 进一步的见解指导临床医生优化治疗策略,并强调正在进行的技术进步.
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