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Mehmet Ali Türkcü¹, Emre Külahcıoğlu², Ferit Cetinkaya³

¹TC Saglik Bakanligi Iskenderun Devlet Hastanesi, Iskenderun, Türkiye.

Frontiers in cardiovascular medicine

|December 22, 2025

概括

血管内膜前动脉修复后 (EVAR) 监测需要的不仅仅是直径测量. 与最大直径 (Dmax) 结合的形态体积测量分析为腹腔大动脉动脉瘤患者提供了更可靠和更经济的随访方案.

科学领域:

血管外科血管外科
医疗成像医学成像
大动脉动脉瘤研究研究

背景情况:

内血管大动脉修复 (EVAR) 是对腹腔大动脉动脉瘤 (AAA) 的标准手术治疗方法.
有效的EVAR后监测对于监测治疗成功和检测并发症至关重要.
形态体积测量分析提供了对EVAR后AAA囊变化的详细评估.

研究的目的:

为了确定影响AAA在EVAR之后改造的因素.
为了评估EVAR后对监视的形态体积测量分析的有效性.
评估一个更有效的后续协议,将直径和体积测量结合起来.

主要方法:

在2019-2023年期间接受选择性EVAR的131名患者的回顾性分析.
术前和术后计算机断层血管学 (CTA) 用于形态测量 (直径,体积,血栓体积,角).
"积极改造"的定义是<=10%的体积减少;监测可靠性的评估和与最大直径 (Dmax) 的相关性.

主要成果:

手术前的大动脉瘤体积 (>233.5厘米3) 和血栓体积 (>204厘米3) 预测了二次干预.
部扩张和角减小是EVAR后显著的形态变化.
在33.6%的患者中发生了积极的重塑;诸如多关动脉,DAPT和内脏泄漏等因素与负面的重塑有关.

结论:

在EVAR后的变化包括部扩张和大动脉延长的减少.
在EVAR之后,终身监测是必不可少的.
结合最大直径 (Dmax) 和体积分析,提供了比单独Dmax更经济和可靠的监控策略.

关键词:

埃瓦尔·埃瓦尔 (Evar Evar) 是一个人.腹部大动脉动脉瘤是什么这是内血管内血管的内血管.接种方式接种方式接种方式卷积分析卷积分析卷积分析

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