对症状性胃下动脉狭窄或闭塞的内血管治疗:一个系统性审查和元分析
Nicola Cicala1, Claudio Bianchini Massoni2, Davide Maria Pressanto1
1Vascular Surgery, Department of Medicine and Surgery, University of Parma, Parma, Italy.
Annals of vascular surgery
|March 9, 2026
概括
对症状性胃下动脉病变的内血管治疗是安全有效的. 这次审查显示了高的技术和临床成功率,优秀的透性和最小的并发症,使其成为一个可行的选择.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心血管医学 心血管医学
背景情况:
- 症状性胃下动脉病变是一个临床挑战.
- 内血管技术提供了一种最少的侵入性方法.
研究的目的:
- 系统地审查和元分析症状性下胃动脉病变的内血管治疗的指示,技术和结果.
主要方法:
- 在主要数据库中按照PRISMA指南进行系统的文献搜索.
- 包括至少有五例内血管治疗的症状下胃动脉病变的研究.
- 使用随机效应模型对初级 (技术成功,临床成功) 和二次结果 (病发率,重新干预,并发症) 的比例进行元分析.
主要成果:
- 分析了六项涉及95名患者和117名胃下动脉的研究.
- 观察到高的技术成功率 (96.1%) 和临床成功率 (90.4%).
- 优秀的中期初级通透性 (93.4%),低的再干预率 (4.3%) 和没有报告的死亡率.
结论:
- 对症状性下胃狭窄闭塞性病变的内血管治疗是安全的,并且在技术上是可行的.
- 这种方法证明了高临床成功和优秀的中期通透性.
- 最低的发病率和没有报告的术后死亡率强调了它的安全性.
相关概念视频
Aneurysm III: Interprofessional Care
422
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
422
Peripheral Artery Disease III: Interprofessional Care
472
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
472
Aneurysm IV: Nursing Management
561
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
561
Venous Thrombosis III: Interprofessional Care
433
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
433
Esophageal Varices-II: Clinical Features and Management
703
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
703

