在Octogenarians中经过Fenestrated内血管大动脉修复后的五年结果
Rohan Basu1, Joshua Davis1, Mackenzie Madison1
1Department of Surgery, Division of Vascular Surgery, Indiana University School of Medicine, Indianapolis, IN.
Annals of vascular surgery
|August 16, 2025
概括
使用Zenith Fenestrated (ZFEN) 装置进行透内血管大动脉修复 (FEVAR) 对80岁以上的患者是安全的. 五年后的结果,包括生存和并发症,与年轻患者相似,支持在精心挑选的老年人中使用它.
科学领域:
- 血管外科 血管外科
- 老年医学 老年医学
- 医疗器械 医疗器械
背景情况:
- 老年患者在传统的大动脉手术中面临更高的风险.
- 复杂的腹腔大动脉瘤 (AAA) 需要专门的治疗方法.
研究的目的:
- 在老年患者 (≥80岁) 中,使用Zenith Fenestrated (ZFEN) 装置评估Fenestrated内血管大动脉修复 (FEVAR) 的5年结果.
- 为了比较年龄在79.9岁以下的患者和80岁及以上的患者之间的结果.
主要方法:
- 对2012年1月至2019年8月期间执行的FEVAR程序的回顾性审查.
- 两个年龄组之间的60个月结局的比较,包括死亡率,再干预和并发症.
- 分析基线特征,停留时间和出院安排.
主要成果:
- 在60个月的整体存活期没有显著差异 (≥80组的66.7%,<80组的73.8%).
- 估计60个月后不需要重新干预的自由度在各组之间是可比的 (81.5%与72.2%对比).
- 住院时间和需要出院的情况在各年龄组之间没有显著差异.
结论:
- 使用ZFEN平台的FEVAR是80岁以上患者复杂AAA的安全有效治疗方法.
- 在精心挑选的老年患者中,选择性动脉瘤修复的长期结果与年轻患者的长期结果相似.
- 在人口老龄化中,ZFEN设备为管理复杂的AAA提供了一个可行的选择.
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