[髂股动脉病变的混合干预选择]。

Q4 Medicine
G B Fataliev, V S Arakelyan, A A Shubin
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引用次数: 0

摘要

目的比较髂股动脉疾病患者接受各种腹股沟下重建(通过股浅动脉恢复血流和通过股深动脉恢复搏动性血流)后进行混合介入治疗的短期和长期疗效:回顾性分析纳入了2014年至2018年间接受髂股混合动脉介入治疗的患者。这些介入治疗包括髂动脉支架植入术和各种开放性腹股沟下动脉重建术。第一组(人数=41)包括接受股浅动脉重建的患者,第二组(人数=88)--恢复股深动脉的搏动性血流。我们分析了两组患者的卢瑟福评分、围术期并发症、初次通畅率和12个月后的肢体挽救率:结果:28 名患者(70%)和 14 名患者(15.9%)的治疗效果明显改善(卢瑟福评分+3)(ppp=0.054)。12个月后的肢体挽救率分别为94.7%和100%(p结论:这项研究强调了在混合介入治疗中通过股深动脉恢复搏动性血流的潜在优势。第二组患者的初次通畅率和肢体挽救率更高,这表明股深动脉血流恢复后的长期疗效更好。需要进一步的前瞻性研究来证实这些结果,并确定差异的内在机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Choice of hybrid interventions for iliac-femoral arterial lesions].

Objective: To compare the short-term and long-term outcomes of hybrid interventions after various infrainguinal reconstructions (restoration of blood flow through superficial femoral artery and pulsatile blood flow through deep femoral artery) in patients with iliac-femoral arterial disease.

Material and methods: A retrospective analysis included patients after hybrid iliac-femoral interventions between 2014 and 2018. These interventions included stenting of iliac arteries and various open infrainguinal reconstructions. The first group (n=41) consisted of patients who underwent reconstruction of superficial femoral artery, the second group (n=88) - restoration of pulsatile blood flow in deep femoral artery. We analyzed the Rutherford score, perioperative complications, primary patency rates and limb salvage rates after 12 months in both groups.

Results: Significant improvement (Rutherford score +3) was achieved in 28 (70%) and 14 (15.9%) patients, respectively (p<0.05). There were no significant between-group differences in the number of postoperative complications. Surgery time was longer in the first group (median 160 and 130 min, respectively, p<0.05). However, intraoperative blood loss was similar. Primary patency rates after 12 months were 82.4% and 95.1%, respectively (p=0.054). Limb salvage rates after 12 months were 94.7% and 100%, respectively (p<0.05).

Conclusion: This study highlights the potential advantages of restoring pulsatile blood flow through the deep femoral artery in hybrid interventions. Higher primary patency and limb salvage rates in the second group indicate better long-term outcomes after restoration of blood flow through the deep femoral artery. Further prospective studies are needed to confirm these results and determine the underlying mechanisms of differences.

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来源期刊
Khirurgiya
Khirurgiya Medicine-Medicine (all)
CiteScore
0.70
自引率
0.00%
发文量
161
期刊介绍: Хирургия отдельных областей сердце, сосуды легкие пищевод молочная железа желудок и двенадцатиперстная кишка кишечник желчевыводящие пути печень
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