急性主动脉夹层是一种危及生命的疾病,需要紧急手术治疗。冷冻象鼻(FET)技术,包括Thoraflex混合假体,已成为治疗复杂主动脉病变的有效策略。随着FET技术的广泛应用,它继续发展,旨在简化程序并减少并发症。这些进步提供了改善的结果,并有助于挽救急性主动脉夹层患者的生命。
■对于这篇评论,PubMed数据库从成立到2023年3月都在使用。采用描述性方法来识别并提供有关FET技术在急性环境中的应用及其对术后过程的临床意义的证据。
■在综述的研究中,FET是急性A型主动脉夹层的常用治疗方法。综合分析12项研究,包括超过4056个FET程序,揭示了不同的早期死亡率(高达21.1%),围手术期中风(范围从2.7到18.0%),和脊髓缺血(范围从0到8.2%)。在后续期间,从6到108个月不等,据报道,死亡率高达38%。
■急性主动脉夹层的外科治疗仍然具有挑战性,但FET已显示出有希望的结果。经验丰富的团队取得了可接受的院内死亡率和卒中发生率,与常规修复相比,脊髓损伤的风险较低。此外,FET技术已证明远端主动脉的结构发生了积极的改变,有可能改善长期生存率并减少未来手术的必要性。
UNASSIGNED: Acute aortic dissection is a life-threatening condition that requires urgent surgical treatment. The frozen elephant trunk (
FET) technique, including the Thoraflex hybrid prosthesis, has emerged as an effective strategy for treating complex aortic pathologies. With the widespread application of the
FET technique, it continues to evolve, aiming to simplify procedures and reduce complications. These advancements provide improved outcomes and help save lives in patients with acute aortic dissection.
UNASSIGNED: For this
review, PubMed databases were utilized from inception to March 2023. A descriptive approach was employed to identify and present the evidence regarding the application of the FET technique in acute settings and its clinical implications on the postoperative course.
UNASSIGNED: In the reviewed studies,
FET was a commonly used treatment approach for acute type A aortic dissection. A comprehensive analysis of 12 studies, comprising over 4056
FET procedures, revealed varying rates of early mortality (up to 21.1%), perioperative stroke (ranging from 2.7 to 18.0%), and spinal cord ischemia (ranging from 0 to 8.2%). During the follow-up period, which ranged from 6 to 108 months, the mortality rate was reported to be as high as 38%.
UNASSIGNED: The surgical management of acute aortic dissection remains challenging, but FET has shown promising results. Experienced teams have achieved acceptable in-hospital mortality and stroke rates, along with a lower risk of spinal cord injury compared to conventional repair. Furthermore, the FET technique has demonstrated positive alterations in the structure of the distal aorta, potentially improving long-term survival and reducing the necessity for future procedures.