当代开放胸腔腹腔大动脉动脉瘤程度I修复后的结果 - 一项跨境研究
Jelle Frankort1,2, Panagiotis Doukas1, Julia Krabbe3
1Department of Vascular Surgery, RWTH Aachen, University Hospital Uniklinik Aachen, Germany.
概括
开放程度的I胸腔-腹腔大动脉瘤修复是缺乏内血管选择的患者的重要治疗方法. 这种程序带有风险,但提供了足够的长期存活率和低的再干预率.
科学领域:
- 血管外科 血管外科
- 大动脉动脉瘤修复修复
- 外科手术的结果
背景情况:
- 开放程度的I胸腔-腹腔大动脉瘤修复对于没有内血管治疗选择的患者至关重要.
- 评估结果和确定主要不良事件的风险因素对于优化患者护理至关重要.
研究的目的:
- 为了评估开放范围I胸腔-腹腔大动脉动脉瘤修复的结果.
- 在这个患者队列中确定与重大不良事件和手术后死亡率相关的因素.
主要方法:
- 对171名接受开放程度I胸腔腹腔大动脉瘤修复的患者进行了回顾性多中心研究.
- 主要不良事件被定义为手术死亡,中风,,或功能衰竭,需要替代疗法.
- 统变逻辑回归用于识别死亡率和重大不良事件的风险因素.
主要成果:
- 住院死亡率为14.6%,其中23.3%发生重大不良事件.
- 增加年龄,先前的心肌梗塞,冠状动脉疾病和CABG病史是不良结果的危险因素.
- 术后并发症如ARDS和败血症与不良结果有显著的相关性. 五年生存率为58.6%. 这是58.6%.
结论:
- 开放程度的I胸腔-腹腔大动脉瘤修复是缺乏内血管替代方案的选定患者的一种成熟治疗方法.
- 尽管存在重大风险,但该程序提供了足够的长期存活率和较低的大动脉再干预率.
- 风险因素识别有助于改善患者选择和术后管理.
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