慢性肢体威胁性缺血症患者内血管治疗的所有原因死亡率相关的因素
Mária Rašiová1, Veronika Pavlíková1, Marek Hudák1
1Faculty of Medicine, Department of Angiology, East Slovak Institute of Cardiovascular Diseases, Šafárik University, Košice, Slovakia.
Frontiers in epidemiology
|February 9, 2026
概括
在接受内血管治疗 (EVT) 的慢性四肢威胁性缺血症 (CLTI) 患者中,高5年死亡率与女性性别,广泛的治疗和肌素/纤维素原的升高有关. 在EVT后重新干预和截肢与较低的死亡率有关.
科学领域:
- 血管外科 血管外科
- 心脏病学 心脏病学
- 血管内干预 血管内干预
背景情况:
- 慢性四肢威胁性缺血症 (CLTI) 尽管有治疗进展,但仍存在显著的死亡风险.
- 在CLTI患者的足部缺血性,对治疗和预后构成特别的挑战.
研究的目的:
- 评估经过内血管治疗 (EVT) 的CLTI和足部缺血性患者的5年全因死亡率.
- 在这个患者队列中确定与增加或减少死亡风险相关的因素.
主要方法:
- 对451名为下肢外周动脉疾病接受EVT的患者 (2016-2018) 的回顾性分析.
- 多变量分析对许多临床和程序变量进行了调整,包括性别,并发症,再干预和截肢.
- 作为主要结局,对5年全因死亡率的评估.
主要成果:
- 五年全因死亡率为60.5%.
- 较高的死亡风险与女性性别有关,多个地区的EVT,肌氨酸升高和纤维素原水平较高.
- 在EVT后的ipsilateral重新干预和ipsilateral截肢时,观察到较低的死亡风险.
结论:
- 女性性别,广泛的EVT和升高的肌素/纤维素是CLTI患者5年死亡率较高的独立预测因素.
- 在EVT之后的ipsilateral重新干预和截肢可能与所有原因死亡的风险降低有关.
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