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Updated: May 9, 2026

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在腹腔大动脉动脉瘤修复中耐久性支架:系统性审查和元分析

Georgios Loufopoulos^1,2, Petroula Nana², Konstantinos Dakis²

¹Department of Vascular Surgery, University Hospital of Lausanne (CHUV), 1005 Lausanne, Switzerland.

Journal of clinical medicine

|September 27, 2025

概括

恩德兰特内移植显示了可接受的生存率和内血管动脉瘤修复 (EVAR) 的低并发症率. 长期监测对于有效管理腹腔大动脉动脉瘤 (AAA) 至关重要.

科学领域:

血管外科血管外科
医疗器械评估医疗器械评估
进行元分析分析.

背景情况:

内血管动脉瘤修复 (EVAR) 是一个先进的腹腔大动脉瘤 (AAA) 治疗方法.
新的内脏移植旨在改善临床结果.
评估像Endurant内移植器这样的特定设备是必不可少的.

研究的目的:

为了评估Endurant内移植的临床性能,在EVAR中对未破裂的AAA进行评估.
为了评估生存率,再干预率,内泄和死亡率.
基于遵守使用说明书 (IFU) 的结果进行比较.

主要方法:

按照PRISMA的指导方针进行系统的文献搜索 (PubMed,Scopus,Cochrane).
使用Kaplan-Meier方法对个体患者数据进行元分析.
亚组分析比较IFU内部与外部的治疗.

主要成果:

分析了26项研究中的5901名患者.
10年生存率:42.4%;与动脉瘤相关的10年死亡率:7.6%.
10年免于重新干预:43.7%;10年免于Ia型内泄:85.6%.

结论:

恩德兰特内移植证明了可接受的生存率和低并发症率.
没有Ia类型的endoleak和再干预率是有利的.
持续的长期监测对于最佳的患者管理仍然是必要的.

关键词:

腹部大动脉动脉瘤腹部大动脉动脉瘤一个主动脉支架这里是endoleakakak 的位置.血管内治疗血管内治疗

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