COVID-19爆发初期血管内动脉瘤修复

IF 0.6 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS
Kemal Karaarslan, A. Kunt, Burcin Abud
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引用次数: 0

摘要

摘要简介:我们报告了3例COVID-19大流行期间的血管内主动脉修复(EVAR)结果。材料与方法:诊断为腹主动脉瘤的患者3例。3例患者均为男性,年龄68岁。动脉瘤直径大于65mm,考虑行EVAR。术前进行胸部断层扫描以排除SARS-CoV-2感染。结果:我们在全身麻醉下进行了EVAR。“优先级”是根据美国外科医师学会的指导方针制定的。手术是在血管造影实验室进行的,采取了先进的预防措施。避免了重症监护。术后顺利,所有患者均出院,无任何与COVID-19相关的疾病。没有死亡、破裂、二次干预、主要不良事件、肢体闭塞和60天的阅读任务。结论:大流行期间,EVAR可用于直径大于65mm的有症状的腹主动脉瘤。胸部断层扫描可以安全排除SARS-CoV-2感染。然而,在大流行期间,对患者进行断层血管造影监测可能很困难。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Endovascular Aortic Aneurysm Repair during the Early Days of the COVID-19 Outbreak
Abstract Introduction: We report the results of endovascular aortic repair (EVAR) in three patients during the COVID-19 pandemic. Materials and Methods: Three patients were diagnosed with abdominal aortic aneurysm. All three patients were male and aged 68 years. The diameter of the aneurysm was larger than 65 mm and was considered suitable for EVAR. Thorax tomography was performed to exclude SARS-CoV-2 infection before the procedure. Results: We performed EVAR under general anesthesia. “Priority Level” was based on the guideline of the American College of Surgeons. The procedure was conducted in the angiography laboratory by taking advanced precautions. Intensive care admission was avoided. The postoperative period was uneventful, and all patients were discharged without any condition associated with COVID-19. There were no mortality, rupture, secondary intervention, major adverse event, limb occlusion, and 60-day read-mission. Conclusions: During the pandemic, EVAR can be performed for symptomatic abdominal aortic aneurysm with a diameter of more than 65 mm. Thorax tomography is safe to exclude SARS-CoV-2 infection. However, tomographic angiography to monitor patients may be difficult during the pandemic.
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