在内血管动脉瘤修复后,支架移植体积的变化与II型内皮瘤之间的关联
Satoshi Yamamoto1,2, Takuya Hashimoto1, Takashi Endo1
1Department of Vascular Surgery, Saitama Medical Center, Saitama Medical University, Kawagoe, Saitama, Japan.
Annals of vascular diseases
|March 16, 2026
概括
在内血管动脉瘤修复 (EVAR) 后,支架移植体积 (SgV) 的变化可以预测II型内泄漏 (T2ELs). 较低的SgV比率可能表明T2EL的风险较高,有助于EVAR后的监测.
科学领域:
- 血管外科 血管外科
- 医疗成像医学成像
- 生物医学工程 生物医学工程
背景情况:
- 在内血管动脉瘤修复 (EVAR) 后的II型内泄 (T2ELs) 与不良结果有关.
- 监测T2EL对于EVAR的长期成功至关重要.
- 支架移植体积 (SgV) 变化可能为T2EL发展提供见解.
研究的目的:
- 调查支架移植体积 (SgV) 变化与EVAR后T2ELs发生之间的关联.
- 确定SgV比率是否可以作为EVAR后T2EL的预测指标.
主要方法:
- 对127名为腹腔大动脉瘤接受EVAR治疗的患者 (2010-2022) 的回顾性分析.
- 使用计算机断层扫描计算SgV,并确定SgV比率 (2年后的SgV/EVAR后立即的SgV).
- 两年后的SgV比率和T2EL之间的相关性的统计评估.
主要成果:
- 在EVAR后2年,在49%的患者中观察到T2EL.
- 单变量和多变量分析确定SgV比率≤1.23作为T2EL的独立预测因素.
- 年龄≥80岁,≥4个明显的腰椎动脉和EPTFE移植等因素也与T2EL相关.
结论:
- SgV比率与EVAR后的T2EL发展有显著的相关性.
- 对SgV比率的评估可能会加强对EVAR患者T2ELs的监测策略.
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