栓塞性急性介质性缺血的内血管第一方法:一个15年的单中心回顾性研究
Eszter Bakó1, Palm Erik2, Pasi Pengermä3
1Heart Center, Kuopio University Hospital, Kuopio, Finland.
概括
血管内治疗是从栓塞性阻塞引起的急性介质缺血 (AMI) 的合适的第一线治疗方法,实现了高的技术成功. 虽然死亡率相当高,但与开放手术相比,这种方法可能会减少对腹腔切除术的需要.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 急性中肠缺血 (AMI) 是一种具有高死亡率的危急疾病.
- 中腔动脉的栓塞性阻塞是AMI的常见原因之一.
- 传统治疗通常涉及开放式手术,这带有重大风险.
研究的目的:
- 评估内血管治疗的结果,作为栓塞性AMI的首要方法.
- 评估内血管干预后的技术成功,并发症,死亡率和腹腔切除术的需要.
主要方法:
- 对患有闭塞性AMI的患者进行了回顾性单中心研究 (2009-2024年).
- 包括急性栓塞性中枢动脉封闭的患者;不包括血栓性病例.
- 评估结果包括技术成功,手术相关并发症,30天死亡率,腹腔切除术和肠切除率.
主要成果:
- 48名患者 (76%) 接受了内血管再血管化,技术成功率为98%.
- 15%的人经历了与程序相关的并发症 (例如,SMA剖析).
- 30天死亡率为44%,与老年,腹膜炎和代谢障碍有关.
结论:
- 内血管治疗是栓塞性AMI的可行的第一线选择,提供了良好的技术成功.
- 鉴于患者群体的平均年龄高和AMI的严重程度,死亡率是可以接受的.
- 这种方法可能会减少对腹腔切除术的需要,而不是开放式栓塞切除术.
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