管理额外冠状动脉伪动脉瘤的管理
Yuliia Mota1, Ihor Kobza1, Taras Kobza2
1Department of Surgery No. 2, Danylo Halytsky Lviv National Medical University, Lviv, Ukraine.
Journal of vascular surgery cases and innovative techniques
|December 16, 2025
概括
额外冠状动脉伪动脉瘤 (ECAPA) 罕见但严重. 重建性外科手术为ECAPA患者提供了有效的治疗,有利的结果,这种情况通常与感染或创伤有关.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 额外冠状动脉伪动脉瘤 (ECAPA) 是一种罕见的血管病理.
- 目前还没有针对ECAPA的管理指南.
- 病因包括创伤,感染,解剖,阳性损伤和之前的手术.
研究的目的:
- 为了回顾一个单一中心对ECAPAs的20年经验.
- 分析临床表现,动脉瘤特征和治疗结果.
- 评估ECAPA手术和内血管干预的疗效.
主要方法:
- 对14名ECAPA患者 (2003年12月 - 2024年2月) 的20年后期回顾.
- 收集的数据包括临床症状,动脉瘤概况和治疗结果.
- 患者接受了开放式手术或内血管干预的治疗.
主要成果:
- 感染 (35.7%),创伤 (28.6%) 和解剖 (28.6%) 是主要的病因.
- 所有患者都有症状,表现出各种症状,包括部质量,中风和破裂.
- 手术干预措施各不相同,包括切除,再植入,绑定,绕道和移植插入;内血管治疗在14.3%的病例中使用.
- 术后并发症包括中风 (21.4%) 和神经功能障碍 (14.3%). 手术后死亡率为7.1%.
- 长期随访 (中位数21个月) 显示69.2%没有新的神经事件;7.7%患上中风.
结论:
- ECAPA是一种罕见但可能危及生命的疾病,需要迅速的手术干预.
- 重建性手术似乎对ECAPA管理有效,产生有利的长期结果.
- 需要对更大的队列进行进一步的研究,以比较手术与内血管方法,并优化治疗策略.
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