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对于八岁以上人群下降胸前大动脉病理的内血管治疗结果:回顾性研究
Emad M Al-Osail1, Alizee Porto2, Mariangela De Masi1
1Department of Vascular Surgery, Timone Aortic Centre, Timone Hospital, APHM, Marseille, France.
Journal of thoracic disease
|December 11, 2025
概括
八十多岁的胸内血管大动脉修复 (TEVAR) 在技术上取得了很高的成功,但风险增加. 仔细选择患者至关重要,因为对于一些老年患者来说,治疗禁忌可能是更好的选择.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 老年医学 老年医学
背景情况:
- 胸内血管大动脉修复 (TEVAR) 是患有胸部疾病的高风险患者的标准.
- 人口老龄化导致80岁以上人群使用TEVAR的增加,但对结果的数据有限.
- 这项研究解决了对八十岁人群TEVAR结果的数据需求.
研究的目的:
- 评估TEVAR在八岁以上人群下降胸前大动脉疾病的短期和中期结果.
- 在这个特定的患者群体中分析术后结果,死亡风险因素和解剖学结果.
主要方法:
- 80岁以上接受TEVAR治疗下降胸大动脉动脉瘤或解剖的80岁以上患者的回顾性单中心研究 (2000-2021年).
- 分析包括人口统计数据,外科手术期间的发病率和死亡率,死亡风险因素以及通过后续扫描的解剖结果.
主要成果:
- 35名八十多岁的患者接受治疗; 74%为动脉瘤,26%为剖析; 34%需要紧急手术.
- 100%的技术成功,14%的住院死亡率和42%的发病率 (呼吸道,神经和脏并发症).
- 在14个月的随访后,死亡率为20%;稳定或回归的大动脉病变为96.1%;内脏泄漏在20%观察到.
结论:
- 八十岁的TEVAR具有重大风险,包括较高的发病率和死亡率.
- 谨慎的患者选择对于TEVAR在这个年龄组的成功至关重要.
- 治疗禁欲应该被视为选择八十岁患者的可行替代方案.
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