■主动脉闭塞性疾病(AIOD)的最佳管理策略仍有争议。这项研究比较了直接手术旁路术和接吻支架治疗AIOD的早期和晚期结果。
■我们回顾性审查了数据,包括年龄,性别,危险因素,合并症,症状,跨大西洋社会共识(TASC)II分类,操作时间,围手术期并发症,住院死亡率,以及住院时间,从2007年1月至2016年12月在釜山国立大学Hostpital接受AIOD治疗的46例患者(24例接受亲吻支架治疗,22例接受直接手术搭桥治疗)的队列中得出。主要的,辅助小学,比较两组的二次通畅率。
■住院时间(直接手术搭桥与亲吻支架:16.36±5.19天vs.9.08±10.88天,p=0.007)和手术时间(直接手术旁路与亲吻支架:316.09±141.78分钟vs.99.54±37.95分钟,p<0.001)对于亲吻支架明显较短。Kaplan-Meier分析显示,辅助小学,直接手术搭桥组的二次通畅率为95.5%,95.5%,和95.5%,分别,1年;86.4%,86.4%,三年为95.5%;和77.3%,77.3%,5年为95.5%。主要的,辅助小学,接吻支架组的二次通畅率为100.0%,100.0%,和100.0%,分别,一年;95.8%,95.8%,3年为100.0%;95.8%,95.8%,5年为100.0%。
■除了血管内血运重建困难的特殊情况,亲吻支架对TASCIIC和D病变更有利。
UNASSIGNED: The optimal management strategy for aortoiliac occlusive disease (AIOD) remains debatable. This study compared early and late outcomes between direct surgical bypass and kissing stents for AIOD treatment.
UNASSIGNED: We retrospectively reviewed data, including age, sex, risk factors, comorbidities, symptoms, TransAtlantic Inter-Society Consensus (TASC) II classification, operation time, perioperative complications, in-hospital mortality, and length of hospital stay, from a cohort of 46 patients treated for AIOD (24 with kissing stents and 22 with direct surgical bypass) at Pusan National University Hostpital from January 2007 to December 2016. The primary, assisted primary, and secondary patency rates in both groups were compared.
UNASSIGNED: The hospital stay (direct surgical bypass vs. kissing stents: 16.36±5.19 days vs. 9.08±10.88 days, p=0.007) and operation time (direct surgical bypass vs. kissing stents: 316.09±141.78 minutes vs. 99.54±37.95 minutes, p<0.001) were significantly shorter for kissing stents. Kaplan-Meier analysis revealed that the primary, assisted primary, and secondary patency rates in the direct surgical bypass group were 95.5%, 95.5%, and 95.5%, respectively, at 1 year; 86.4%, 86.4%, and 95.5% at 3 years; and 77.3%, 77.3%, and 95.5% at 5 years. The primary, assisted primary, and secondary patency rates in the kissing stent group were 100.0%, 100.0%, and 100.0%, respectively, at 1 year; 95.8%, 95.8%, and 100.0% at 3 years; and 95.8%, 95.8%, and 100.0% at 5 years.
UNASSIGNED: Except for special cases wherein endovascular revascularization is difficult, kissing stents are more advantageous for TASC II C and D lesions.