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预先侧枝栓塞的中期结果,旨在在内血管动脉瘤修复过程中针对全枝栓塞进行内血管动脉瘤修复

Yu Nosaka¹, Masahiro Ikeda¹, Teruaki Ushijima¹

¹Department of Cardiovascular Surgery, Toyama Red Cross Hospital, Postal address: 2-1-58 Ushijimahonmachi, Toyama City, Toyama Prefecture, Japan.

Annals of vascular surgery

|December 20, 2025

概括

在内血管动脉瘤修复 (EVAR) 期间,积极的先发性侧枝栓塞 (A-PBE) 促进动脉瘤囊收缩,并减少2型内泄漏 (T2EL) 和选择患者的重新干预.

科学领域:

血管外科血管外科
干预性放射学干预性放射学
医疗器械技术医疗器械技术

背景情况:

2型内 (T2EL) 是内血管动脉瘤修复 (EVAR) 的并发症.
预防性侧枝栓塞 (PBE) 是一种预防T2EL的策略.
积极的PBE (A-PBE) 旨在吸收所有已识别的专利侧分支.

研究的目的:

评估积极预防性侧枝栓塞 (A-PBE) 策略的中期临床结果.
为了将A-PBE与EVAR期间预防T2EL的标准护理进行比较.

主要方法:

分析了140名接受初级EVAR治疗的患者队列.
33名患者接受了A-PBE (A-PBE组),107人没有 (O组).
结果包括动脉瘤囊径变化,再干预率和T2EL发生率.

主要成果:

A-PBE组显示显著更高的囊收缩 (63.6%对37.4%) 和下囊大 (6.1%对28.0%) 和T2EL (15.2%对36.4%).
在A-PBE组中不需要重新干预,而在O组中为15.0%.
尽管增加了手术时间和对比度的使用,A-PBE没有新的术后并发症或透析.

结论:

积极的先发性侧枝栓塞 (A-PBE) 有效地促进囊缩.
A-PBE显著降低了2型内皮漏洞 (T2EL) 和重新干预率.
这一策略可能会在精心挑选的患者中改善长期EVAR结果.

关键词:

血管内动脉瘤修复血管内动脉瘤修复预防性侧枝栓塞预防性侧枝栓塞总分支栓塞总分支栓塞 2类型的内分泌物.

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