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对于复杂的腹部和胸腔腹腔大动脉动脉瘤,Cook Zenith和Relay Plus医生修改的内移植的比较

Samuel Saers¹, Wajdi Alrawi², Emiel W M Huistra³

¹Department of Thoracic and Vascular Surgery, Linköping University Hospital, Linköping, Sweden; Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden.

Annals of vascular surgery

|December 21, 2025

概括

医生修改的内移植 (PMEGs) 提供了有效的解决方案,复杂的大动脉动脉瘤,当定制设备是不可用的. 泽尼思和Relay Plus平台在生存率,成功率和移植通透性方面表现出相似的良好结果.

科学领域:

血管外科血管外科
血管内修复血管内修复
大动脉动脉瘤治疗方法

背景情况:

复杂的腹腔大动脉动脉瘤 (CAAA) 和胸腔腹腔动脉瘤 (TAA) 通常需要紧急修复.
定制的内血管器件在紧急情况下经常无法使用.
医生修改的内脏移植 (PMEGs) 为窗口或分支内脏移植提供了一个快速的,针对患者的解决方案.

研究的目的:

评估CAAA和TAAPMEGs的临床结果.
为了比较Cook Zenith和Relay Plus内移植平台在PMEG手术中的性能.
评估死亡率,技术成功,不良事件和长期通透性.

主要方法:

从2012年1月到2023年12月对PMEG程序进行回顾性单一中心审查.
包括42名接受Zenith (n=20) 或Relay Plus (n=22) 系统治疗的患者.
主要结局:死亡率和技术成功;次要结局:30天主要不良事件 (MAE),再干预和桥梁支架移植通透性.

主要成果:

在Zenith和Relay Plus平台上,技术成功率为90%.
两组的四年全因生存率为64%,没有显著差异.
在30天内发生的重大不良事件发生在12%的患者中,平台之间发生率相似.
对于Zenith来说,四年无需重新干预的自由度为69%,对于Relay Plus来说是59% (p=0.34).
在四年内,桥梁支架移植的通透率非常好:初级91%,初级辅助97%,二级98%.

结论:

使用Zenith和Relay Plus平台的PMEG在死亡率,技术成功,MAE和目标船舶通透性方面产生了有利的结果.
在平台之间没有观察到结果的显著差异,即使在更复杂的解剖学中使用Relay Plus.
泽尼思和Relay Plus都适合用于复杂的大动脉动脉瘤的医生修改的内移植.

关键词:

透的内血管动脉瘤修复在Juxtarenal上使用.医生修改的内脏移植.继电器加上继电器.胸腔腹部胸腔腹部禅林学会禅林学会禅林学会禅林学会复杂的腹部动脉瘤.

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