{"title":"比较覆盖支架移植术和结扎术在治疗因静脉注射毒品而感染的股骨假性动脉瘤中的应用。","authors":"Yanzhang Zeng, Ping Yuan, Qiang He","doi":"10.1177/17085381241240237","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>The study compared the outcomes between covered-stents grafting (CSG) and ligation of femoral artery (LFA) in the treatment of infected femoral pseudoaneurysm (IFP) caused by intravenous drug injection.</p><p><strong>Methods: </strong>From 1<sup>st</sup> January 2016 to 30<sup>th</sup> November 2021, the clinical data of patients with IFP caused by intravenous drug injection who underwent CSG (<i>n</i> = 31, 55.4%) and LFA (<i>n</i> = 25, 45.4%) are retrospectively analyzed. We compared the baseline characteristics and clinical outcomes of the two groups, including early and late mortality and morbidity.</p><p><strong>Results: </strong>A total of 56 patients were enrolled in the study, comprising 50 (89.3%) men and 6 (10.7%) women, with a mean age of 34.3 years. There was no significant difference observed between the two groups in terms of 30-day mortality (3.2% vs 0%, <i>p</i> = .365) and length of stay (9 [7, 12] vs 11 [8.5, 12.5] days, <i>p</i> = .236). However, group CSG exhibited a lower rate of intermittent claudication (0% vs 32%, <i>p</i> = .001), less blood loss (67.1 ± 22.5 mL vs 177.0 ± 59.8 mL, <i>p</i> < .001), and shorter surgery duration (57.5 ± 9.9 min vs 84.4 ± 22.8 min, <i>p</i> < .001) compared to group LFA. The LFA group were divided into subgroups according to the ligation site. The amputation rate of superficial femoral artery ligation group (0 vs 27.3%, <i>p</i> = .014) was significantly lower than common femoral artery ligation.</p><p><strong>Conclusions: </strong>Covered-stents grafting may be a preferable treatment to LFA for IFP due to intravenous drug abuse, particularly when the entry tear is located in the common femoral artery.</p>","PeriodicalId":23549,"journal":{"name":"Vascular","volume":" ","pages":"80-86"},"PeriodicalIF":1.0000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Comparison between covered-stents grafting and ligation in the treatment of infected femoral pseudoaneurysm due to intravenous drug abuse.\",\"authors\":\"Yanzhang Zeng, Ping Yuan, Qiang He\",\"doi\":\"10.1177/17085381241240237\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objectives: </strong>The study compared the outcomes between covered-stents grafting (CSG) and ligation of femoral artery (LFA) in the treatment of infected femoral pseudoaneurysm (IFP) caused by intravenous drug injection.</p><p><strong>Methods: </strong>From 1<sup>st</sup> January 2016 to 30<sup>th</sup> November 2021, the clinical data of patients with IFP caused by intravenous drug injection who underwent CSG (<i>n</i> = 31, 55.4%) and LFA (<i>n</i> = 25, 45.4%) are retrospectively analyzed. We compared the baseline characteristics and clinical outcomes of the two groups, including early and late mortality and morbidity.</p><p><strong>Results: </strong>A total of 56 patients were enrolled in the study, comprising 50 (89.3%) men and 6 (10.7%) women, with a mean age of 34.3 years. There was no significant difference observed between the two groups in terms of 30-day mortality (3.2% vs 0%, <i>p</i> = .365) and length of stay (9 [7, 12] vs 11 [8.5, 12.5] days, <i>p</i> = .236). However, group CSG exhibited a lower rate of intermittent claudication (0% vs 32%, <i>p</i> = .001), less blood loss (67.1 ± 22.5 mL vs 177.0 ± 59.8 mL, <i>p</i> < .001), and shorter surgery duration (57.5 ± 9.9 min vs 84.4 ± 22.8 min, <i>p</i> < .001) compared to group LFA. The LFA group were divided into subgroups according to the ligation site. The amputation rate of superficial femoral artery ligation group (0 vs 27.3%, <i>p</i> = .014) was significantly lower than common femoral artery ligation.</p><p><strong>Conclusions: </strong>Covered-stents grafting may be a preferable treatment to LFA for IFP due to intravenous drug abuse, particularly when the entry tear is located in the common femoral artery.</p>\",\"PeriodicalId\":23549,\"journal\":{\"name\":\"Vascular\",\"volume\":\" \",\"pages\":\"80-86\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Vascular\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/17085381241240237\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/3/15 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q4\",\"JCRName\":\"PERIPHERAL VASCULAR DISEASE\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Vascular","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/17085381241240237","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/3/15 0:00:00","PubModel":"Epub","JCR":"Q4","JCRName":"PERIPHERAL VASCULAR DISEASE","Score":null,"Total":0}
引用次数: 0
摘要
研究目的该研究比较了覆盖支架移植术（CSG）和股动脉结扎术（LFA）在治疗静脉注射药物引起的感染性股骨头假性动脉瘤（IFP）中的疗效：方法：回顾性分析2016年1月1日至2021年11月30日期间，接受CSG（31例，55.4%）和LFA（25例，45.4%）治疗的静脉药物注射所致感染性股骨头假性动脉瘤患者的临床资料。我们比较了两组患者的基线特征和临床结果，包括早期和晚期死亡率和发病率：共有 56 名患者参与研究，其中男性 50 人（89.3%），女性 6 人（10.7%），平均年龄 34.3 岁。两组患者的 30 天死亡率（3.2% vs 0%，P = .365）和住院时间（9 [7, 12] vs 11 [8.5, 12.5] 天，P = .236）无明显差异。然而，与 LFA 组相比，CSG 组的间歇性跛行率较低（0% vs 32%，p = .001），失血量较少（67.1 ± 22.5 mL vs 177.0 ± 59.8 mL，p < .001），手术时间较短（57.5 ± 9.9 min vs 84.4 ± 22.8 min，p < .001）。LFA 组根据结扎部位分为不同的亚组。股浅动脉结扎组的截肢率（0 vs 27.3%，p = .014）明显低于股总动脉结扎组：结论：对于静脉药物滥用导致的IFP，覆盖支架移植可能是比LFA更好的治疗方法，尤其是当入口撕裂位于股总动脉时。
Comparison between covered-stents grafting and ligation in the treatment of infected femoral pseudoaneurysm due to intravenous drug abuse.
Objectives: The study compared the outcomes between covered-stents grafting (CSG) and ligation of femoral artery (LFA) in the treatment of infected femoral pseudoaneurysm (IFP) caused by intravenous drug injection.
Methods: From 1st January 2016 to 30th November 2021, the clinical data of patients with IFP caused by intravenous drug injection who underwent CSG (n = 31, 55.4%) and LFA (n = 25, 45.4%) are retrospectively analyzed. We compared the baseline characteristics and clinical outcomes of the two groups, including early and late mortality and morbidity.
Results: A total of 56 patients were enrolled in the study, comprising 50 (89.3%) men and 6 (10.7%) women, with a mean age of 34.3 years. There was no significant difference observed between the two groups in terms of 30-day mortality (3.2% vs 0%, p = .365) and length of stay (9 [7, 12] vs 11 [8.5, 12.5] days, p = .236). However, group CSG exhibited a lower rate of intermittent claudication (0% vs 32%, p = .001), less blood loss (67.1 ± 22.5 mL vs 177.0 ± 59.8 mL, p < .001), and shorter surgery duration (57.5 ± 9.9 min vs 84.4 ± 22.8 min, p < .001) compared to group LFA. The LFA group were divided into subgroups according to the ligation site. The amputation rate of superficial femoral artery ligation group (0 vs 27.3%, p = .014) was significantly lower than common femoral artery ligation.
Conclusions: Covered-stents grafting may be a preferable treatment to LFA for IFP due to intravenous drug abuse, particularly when the entry tear is located in the common femoral artery.
期刊介绍：
Vascular provides readers with new and unusual up-to-date articles and case reports focusing on vascular and endovascular topics. It is a highly international forum for the discussion and debate of all aspects of this distinct surgical specialty. It also features opinion pieces, literature reviews and controversial issues presented from various points of view.
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