Minimally Invasive Endovascular Repair for Nondissected Ascending Aortic Disease: A Systematic Review.

IF 1.2 4区 医学 Q3 EMERGENCY MEDICINE
Emergency Medicine International Pub Date : 2023-09-19 eCollection Date: 2023-01-01 DOI:10.1155/2023/5592622
Weixue Huo, Mengwei He, Xianhao Bao, Ye Lu, Wen Tian, Jiaxuan Feng, Zhaoxiang Zeng, Rui Feng
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引用次数: 0

Abstract

Objective: The aim of this study is to evaluate the efficacy of endovascular treatment for nondissected diseases of the ascending aorta. Data Sources. PubMed, Embase, and SciELO. Review Methods. In this study, we conducted a search on the PubMed, Embase, and SciELO databases for all cases of ascending aortic endovascular repair included in the literature published between January 2007 and July 2023, excluding type A aortic dissection. We reviewed 56 case reports and 7 observational studies included in this study, assessing the techniques, equipment, procedural steps, and results. We summarized the age, complications, follow-up time, and access route.

Results: This study includes 63 articles reporting 105 patients (mean age: 64.96 ± 17.08 years) who received endovascular repair for nondissected ascending aortic disease. The types of disease include aneurysm (N = 16), pseudoaneurysm (N = 71), penetrating aortic ulcer (N = 10), intramural hematoma (N = 2), thrombosis (N = 2), iatrogenic coarctation (N = 1), and rupture of the aorta (N = 3). The success rate of surgery is 99.05% (104/105). Complications include endoleak (10.48%, 11/105), stroke (5.71%, 6/105), postoperative infection (1.91%, 2/105), acute renal failure (0.95%, 1/105), aortic rupture (0.95%, 1/105), thrombosis (0.95%, 1/105), and splenic infarction (0.95%, 1/105). Five patients required conversion to open surgery, two patients underwent endovascular reintervention, and four of these five patients underwent surgery due to endoleak. Early mortality was 2.86% (3/105).

Conclusion: While the viability and results of endovascular repair for the treatment of ascending aortic disease are acknowledged in some circumstances, further research is needed to determine the safety and effectiveness of endovascular treatment for ascending aortic disease.

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微创血管内修复治疗未切开的升主动脉疾病:一项系统综述。
目的:本研究旨在评价血管内治疗升主动脉非切除性疾病的疗效。数据源。PubMed、Embase和SciELO。审查方法。在这项研究中,我们在PubMed、Embase和SciELO数据库中搜索了2007年1月至2023年7月发表的文献中包括的所有升主动脉血管内修复病例,不包括a型主动脉夹层。我们回顾了本研究中包括的56例病例报告和7项观察性研究,评估了技术、设备、程序步骤和结果。我们总结了年龄、并发症、随访时间和进入途径。结果:本研究包括63篇报道105名患者的文章(平均年龄:64.96 ± 17.08 年),他们接受了非切除性升主动脉疾病的血管内修复。疾病类型包括动脉瘤(N = 16) ,假性动脉瘤(N = 71),穿透性主动脉溃疡(N = 10) ,壁内血肿(N = 2) ,血栓形成(N = 2) ,医源性缩窄(N = 1) ,和主动脉破裂(N = 3) 。手术成功率为99.05%(104/105)。并发症包括内漏(10.48%,11/105)、中风(5.71%,6/105)、术后感染(1.91%,2/105。五名患者需要转为开放手术,两名患者接受了血管内再介入治疗,其中四名患者因内漏接受了手术。早期死亡率为2.86%(3/105)。结论:虽然血管内修复治疗升主动脉疾病的可行性和效果在某些情况下是公认的,但还需要进一步的研究来确定血管内治疗升主动脉病的安全性和有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Emergency Medicine International
Emergency Medicine International EMERGENCY MEDICINE-
CiteScore
0.10
自引率
0.00%
发文量
187
审稿时长
17 weeks
期刊介绍: Emergency Medicine International is a peer-reviewed, Open Access journal that provides a forum for doctors, nurses, paramedics and ambulance staff. The journal publishes original research articles, review articles, and clinical studies related to prehospital care, disaster preparedness and response, acute medical and paediatric emergencies, critical care, sports medicine, wound care, and toxicology.
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