骨切除术与常见的股骨动脉动脉硬化病的支架安置:一个系统性审查
在PubMed上查看摘要
概括
此摘要是机器生成的。在常见的股骨动脉动脉样硬化中,切除和支架的结果相似. 需要更多的前性研究来确定一种技术是否更好地治疗这种疾病.
科学领域
- 血管外科
- 干预心脏病学
- 医疗设备技术
背景情况
- 常动脉的症状性动脉硬化严重影响患者的运动能力和生活质量.
- 对CFA动脉样硬化的治疗方案包括内血管干预,如切除动脉样和支架.
研究的目的
- 为了比较治疗症状性CFA动脉样硬化术的临床和技术结果.
主要方法
- 根据PRISMA指南进行系统审查,搜索MEDLINE和Embase (2000-2023年).
- 数据提取包括研究,患者,病变和干预特征,以及临床和技术结果.
- 使用混合方法评估工具 (MMAT) 评估偏差风险.
主要成果
- 其中包括33项研究,比较了切除术和支架. 两组患者的人口统计和并发症情况相似.
- 这两种手术的技术成功率都很高 (92-100%的切除术,94-100%的支架).
- 目标损伤再血管化 (TLR) 和肢体挽救等结果基本上相似,尽管在支架上发现了支架骨折率 (0-8%).
结论
- 对于症状性CFA动脉样硬化,切除动脉和支架似乎都提供了相似且有利的结果.
- 然而,现有的数据是异质的,缺乏直接的前性比较研究.
- 需要进一步进行高质量的研究才能确定这两种技术的优势.
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