Department of Outcomes Research, St. George's Vascular Institute, London, United Kingdom.
Ann Thorac Surg. 2013 Sep;96(3):1117-21. doi: 10.1016/j.athoracsur.2013.04.090. Epub 2013 Aug 2.
The objective was to provide a systematic review of outcomes of thoracic endovascular aortic repair for aortobronchial fistula. A literature search identified 134 patients. The technical success rate was 93.2%. The overall 30-day mortality was 5.9%. After a mean follow-up of 17.4 months, the aortic-related mortality was 14.3%. Recurrence of the aortobronchial fistula was observed in 11.1% of the patients. Thoracic endovascular aortic repair of aortobronchial fistulas appears to be a viable alternative with excellent short-term results. Strict follow-up and aggressive adjunctive measures are needed to treat ongoing infection to prevent late related mortality.
目的在于对胸主动脉腔内修复术治疗主动脉支气管瘘的结果进行系统评价。文献检索共发现 134 例患者。技术成功率为 93.2%。总体 30 天死亡率为 5.9%。平均随访 17.4 个月后，主动脉相关死亡率为 14.3%。11.1%的患者出现主动脉支气管瘘复发。胸主动脉腔内修复术治疗主动脉支气管瘘似乎是一种可行的选择，具有极好的短期效果。需要严格随访和积极的辅助措施来治疗持续感染，以预防晚期相关死亡。
