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在接受侵入性治疗的有症状和无症状患者中,状动脉动脉瘤形态
Iva Jergovic1, Anne Cervin2, Joakim Nordanstig2
1Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden; Department of Vascular Surgery, Karolinska University Hospital, Stockholm, Sweden.
概括
形态特征,而不仅仅是直径,区分了症状和无症状的斑块动脉动脉瘤 (PAA). 严重的形态,包括不良的流水和大血栓,在有症状的PAA中更为常见,这表明手术修复决策的更好工具.
科学领域:
- 血管外科 血管外科
- 医疗成像医学成像
- 动脉瘤研究 动脉瘤研究
背景情况:
- 脊柱动脉动脉瘤 (PAA) 是一种常见的外周动脉疾病.
- 目前手术修复的指示主要依赖于动脉瘤直径.
- 其他形态特征在PAA症状中的作用不太清楚.
研究的目的:
- 为了比较症状和无症状PAA之间的形态特征.
- 为了确定动脉角,血栓面积和流量程度是否在PAA组之间有所不同.
- 评估严重形态特征的组合是否预测PAA症状.
主要方法:
- 100名患者 (50名有症状,50名无症状) 的回顾性多中心队列研究.
- 分析infrapopliteal流水,popliteal动脉角化 (≥45°) 和内血栓区域 (≥70%).
- 严重的形态定义为两个或两个以上的不良特征;数据为2012-2020年.
主要成果:
- 有症状的PAA显示流水明显较差 (40%对12%) 和较大的血栓面积 (80%对54%).
- 严重的形态在有症状的患者中更为普遍 (44%对18%).
- 动脉角在各组之间没有差异;最大直径相似.
结论:
- 仅靠尾动脉的直径就不足以做出手术修复的决定.
- 超过直径的严重形态特征在症状PAA中更为常见.
- 这些特征可能为PAA管理和手术指示提供了更精细的方法.
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