血管环手术:何时介入?回顾我们的案例并介绍管理算法。

IF 0.3 Q4 SURGERY
Carlos Nieto-Moral, Enrique García-Torres, Francisco Javier Arias-Dachary, Lorenzo Boni
{"title":"血管环手术:何时介入?回顾我们的案例并介绍管理算法。","authors":"Carlos Nieto-Moral,&nbsp;Enrique García-Torres,&nbsp;Francisco Javier Arias-Dachary,&nbsp;Lorenzo Boni","doi":"10.1016/j.circv.2024.06.006","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction and objectives</h3><div>The term vascular ring encompasses different anatomical variants, the result of anomalous embryonic development of the primitive aortic arches, with the potential to cause injuries to the airway and/or digestive tract. Despite a more frequent, early and/or prenatal diagnosis, there are no clear management recommendations in clinical guidelines.</div><div>We present the management algorithm of this center, supported by the literature and a review of the results of patients operated on there.</div></div><div><h3>Methods</h3><div>Retrospective review of vascular ring interventions at the Hospital Universitario 12 de Octubre in Madrid, between January 2014 and March 2023, and analysis of the literature.</div></div><div><h3>Results</h3><div>Between January 2014 and March 2023, a total of 31 patients were operated on without any deaths being recorded. In 67.7% of cases the approach was thoracoscopic, and prenatal diagnosis was performed in 82.7% of susceptible cases.</div></div><div><h3>Conclusions</h3><div>Early surgery is considered to avoid sequelae of this pathology, without significant differences in surgical complications or associated with the type of approach, thoracoscopic or thoracotomy/sternotomy.</div><div>They meet the criteria for surgical indication: patients with symptomatic vascular rings when they first appear, asymptomatic complete vascular rings with a decrease in the airway lumen ≥ 50% in dynamic imaging tests, and all elective double aortic arches around 6 months of age, regardless of clinical symptoms and degree of airway compression.</div></div>","PeriodicalId":42671,"journal":{"name":"Cirugia Cardiovascular","volume":"32 5","pages":"Pages 244-252"},"PeriodicalIF":0.3000,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Cirugía del anillo vascular: ¿cuándo intervenir? Revisión de nuestra casuística y presentación de un algoritmo de manejo\",\"authors\":\"Carlos Nieto-Moral,&nbsp;Enrique García-Torres,&nbsp;Francisco Javier Arias-Dachary,&nbsp;Lorenzo Boni\",\"doi\":\"10.1016/j.circv.2024.06.006\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction and objectives</h3><div>The term vascular ring encompasses different anatomical variants, the result of anomalous embryonic development of the primitive aortic arches, with the potential to cause injuries to the airway and/or digestive tract. Despite a more frequent, early and/or prenatal diagnosis, there are no clear management recommendations in clinical guidelines.</div><div>We present the management algorithm of this center, supported by the literature and a review of the results of patients operated on there.</div></div><div><h3>Methods</h3><div>Retrospective review of vascular ring interventions at the Hospital Universitario 12 de Octubre in Madrid, between January 2014 and March 2023, and analysis of the literature.</div></div><div><h3>Results</h3><div>Between January 2014 and March 2023, a total of 31 patients were operated on without any deaths being recorded. In 67.7% of cases the approach was thoracoscopic, and prenatal diagnosis was performed in 82.7% of susceptible cases.</div></div><div><h3>Conclusions</h3><div>Early surgery is considered to avoid sequelae of this pathology, without significant differences in surgical complications or associated with the type of approach, thoracoscopic or thoracotomy/sternotomy.</div><div>They meet the criteria for surgical indication: patients with symptomatic vascular rings when they first appear, asymptomatic complete vascular rings with a decrease in the airway lumen ≥ 50% in dynamic imaging tests, and all elective double aortic arches around 6 months of age, regardless of clinical symptoms and degree of airway compression.</div></div>\",\"PeriodicalId\":42671,\"journal\":{\"name\":\"Cirugia Cardiovascular\",\"volume\":\"32 5\",\"pages\":\"Pages 244-252\"},\"PeriodicalIF\":0.3000,\"publicationDate\":\"2025-09-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Cirugia Cardiovascular\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1134009624001268\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"SURGERY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Cirugia Cardiovascular","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1134009624001268","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"SURGERY","Score":null,"Total":0}
引用次数: 0

摘要

术语血管环包含不同的解剖变异,是原始主动脉弓异常胚胎发育的结果,有可能导致气道和/或消化道损伤。尽管更频繁,早期和/或产前诊断,临床指南中没有明确的管理建议。我们提出了该中心的管理算法,并以文献和对在该中心手术的患者的结果进行了回顾。方法回顾性分析2014年1月至2023年3月12日在马德里大学医院进行的血管环介入治疗,并对文献进行分析。结果2014年1月至2023年3月共手术31例,无死亡病例。67.7%的病例采用胸腔镜入路,82.7%的易感病例行产前诊断。结论早期手术可避免该病理的后遗症,手术并发症无显著差异,且与入路类型、胸腔镜或开胸/开胸术相关。符合手术指征标准:首次出现有症状的血管环,动态影像学检查无症状的完整血管环,气道管腔减少≥50%,6月龄左右均为选择性双主动脉弓,无论临床症状和气道受压程度如何。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cirugía del anillo vascular: ¿cuándo intervenir? Revisión de nuestra casuística y presentación de un algoritmo de manejo

Introduction and objectives

The term vascular ring encompasses different anatomical variants, the result of anomalous embryonic development of the primitive aortic arches, with the potential to cause injuries to the airway and/or digestive tract. Despite a more frequent, early and/or prenatal diagnosis, there are no clear management recommendations in clinical guidelines.
We present the management algorithm of this center, supported by the literature and a review of the results of patients operated on there.

Methods

Retrospective review of vascular ring interventions at the Hospital Universitario 12 de Octubre in Madrid, between January 2014 and March 2023, and analysis of the literature.

Results

Between January 2014 and March 2023, a total of 31 patients were operated on without any deaths being recorded. In 67.7% of cases the approach was thoracoscopic, and prenatal diagnosis was performed in 82.7% of susceptible cases.

Conclusions

Early surgery is considered to avoid sequelae of this pathology, without significant differences in surgical complications or associated with the type of approach, thoracoscopic or thoracotomy/sternotomy.
They meet the criteria for surgical indication: patients with symptomatic vascular rings when they first appear, asymptomatic complete vascular rings with a decrease in the airway lumen ≥ 50% in dynamic imaging tests, and all elective double aortic arches around 6 months of age, regardless of clinical symptoms and degree of airway compression.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
0.50
自引率
66.70%
发文量
109
审稿时长
69 days
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术官方微信