观点评述

关于烟囱技术保存上主动脉分支的综述

Published at: 2014年第1卷第7期

Konstantinos G. Moulakakis 1 , Spyridon N. Mylonas 2 , Ilias Dalainas 3 , George S. Sfyroeras 3 , Fotis Markatis 3 , Thomas Kotsis 4 , John Kakisis 3 , Christos D. Liapis 3
1 Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece; The Systematic Review Unit, The Collaborative Research (CORE) Group, Sydney, Australia
2 Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece; The Systematic Review Unit, The Collaborative Research (CORE) Group, Sydney, Australia; Vascular Unit, 2nd Clinic of Surgery, Aretaieion Hospital, Medical School, University of Athens, Athens, Greece
3 Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece
4 Vascular Unit, 2nd Clinic of Surgery, Aretaieion Hospital, Medical School, University of Athens, Athens, Greece

摘要

血管内时代的发展影响主动脉弓病变的管理。“烟囱”技术已作为高危患者不适宜开胸治疗的替代治疗方式。我们对已发表的关于烟囱技术保存上主动脉分支的文献进行文献检索,目的是探讨其可行性和有效性,并调查其结果。检索到18篇文献,共 124例患者和 136名烟囱技术。手术成功率为99.2% (123/124)。死亡率为 4.8%,中风率为 4%,而脊髓缺血事件更罕见。整体内漏率为 18.5%;13 名患者为 (10.5%) Ⅰ型内漏和 10名(8%) 患者为Ⅱ型内漏。中位随访11.4(0.87 -20.1)个月后,所有采取烟囱"技术依然通畅。据此,我们得出结论,与开胸或混合重建技术相比,烟筒技术修复主动脉弓血管的死亡率较低。但是,中风率仍然需要观察,需要长期随访数据加以证实。

请购买后进行阅读
comments powered by Disqus