■本研究旨在报告接受血管内介入治疗的患者的中期结果,亲吻支架,或覆盖主动脉分叉的血管内重建,涉及主动脉分叉的跨大西洋社会共识C或D主动脉闭塞性疾病。
2018年1月至2021年1月期间,18名患有间歇性跛行或慢性威胁肢体缺血的跨大西洋学会共识C或D型主动脉髂动脉闭塞性疾病的患者纳入研究。亲吻支架,AdvantaV12(中庭,GetingeGroup),用于13名患者,4例患者采用覆膜血管内重建主动脉分叉技术进行主动脉分叉重建。对患者进行了中位49个月的随访(分钟。2,最大58个月)。通畅率,死亡率,发病率,并记录了再干预措施。
■患者的平均年龄为60.4±10岁。94.4%的患者获得了技术上的成功,但一名患者不得不转为开放手术.其余患者在58个月时的主要通畅率为85.6%。靶病变血运重建率为11.7%。一名患者成功再介入支架再狭窄,58个月时二次通畅率为93.3%。随访期间肢体抢救率为84.6%。2例患者发生心肌梗死(11.1%),1例因脑血管事件而死亡(5.6%)。
■血管内技术可安全地用于跨大西洋社会共识C或D型主动脉闭塞性疾病的主动脉分叉重建,这些患者具有高风险的开放性手术。主动脉分叉的覆盖血管内重建是迄今为止在治疗涉及主动脉分叉的主动脉闭塞性疾病中唯一显示接近开放手术的通畅率的技术。尽管接吻覆盖的支架获得了有希望的通畅效果,长期通畅率仍低于开放手术.需要进一步的随机对照研究来比较这些技术的长期结果。
UNASSIGNED: The current study aims to report midterm results of patients treated with endovascular intervention, kissing stent, or covered endovascular reconstruction of the aortic bifurcation, for Trans-Atlantic Inter-Society
Consensus C or D aortoiliac occlusive disease involving the aortic bifurcation.
UNASSIGNED: Eighteen patients who have intermittent claudication or chronic limb threatening ischemia with Trans-Atlantic Inter-Society
Consensus C or D aortoiliac occlusive disease involving the aortic bifurcation enrolled to the study between January 2018 and January 2021. Kissing stents, Advanta V12 (Atrium, Getinge Group), were used in 13 patients, and the covered endovascular reconstruction of the aortic bifurcation technique was used in 4 patients to reconstruct the aortic bifurcation. The patients were followed for a median of 49 months (min. 2, max.58 months). Patency rates, mortality, morbidities, and reinterventions were recorded.
UNASSIGNED: The mean age of the patients was 60.4 ± 10 years. Technical success was achieved in 94.4% of the patients, but one patient had to convert to open surgery. Primary patency rate of the remaining patients was 85.6% at 58 months. Target lesion revascularization rate was 11.7%. One patient had successful reintervention for in stent restenosis, and secondary patency rate was 93.3% at 58 months. Limb salvage rate was 84.6% during the follow-up. Two patients had myocardial infarction (11.1%) and one mortality (5.6%) occurred because of cerebrovascular event in the follow-up.
UNASSIGNED: Endovascular techniques can be used safely for reconstruction of the aortic bifurcation in Trans-Atlantic Inter-Society
Consensus C or D aortoiliac occlusive disease in selected patients who have high risk for open surgery. Covered endovascular reconstruction of the aortic bifurcation is the only technique that showed patency rates approaching open surgery in treatment of aortoiliac occlusive disease involving the aortic bifurcation to date. Although promising patency results were achieved with kissing-covered stents, long-term patency rates were still lower than those achieved with open surgery. Further randomized controlled studies comparing the long-term results of these techniques are needed.