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支架放置变化对犬气管塌陷腔内支架置入结果的影响。

Effect of Variations in Stent Placement on Outcome of Endoluminal Stenting for Canine Tracheal Collapse.

作者信息

Rosenheck Stephanie, Davis Garrett, Sammarco Carl D, Bastian Richard

机构信息

From the Department of Surgery, Center For Animal Referral and Emergency Services, Langhorne, Pennsylvania (S.R.); Red Bank Veterinary Hospital, Tinton Falls, New Jersey (S.R., G.D., C.D.S.); and Monmouth University, West Long Branch, New Jersey (R.B.).

出版信息

J Am Anim Hosp Assoc. 2017 May/Jun;53(3):150-158. doi: 10.5326/JAAHA-MS-6485. Epub 2017 Mar 14.

Abstract

The study's objective was to determine effects of relative size and placement location of endoluminal stents on incidence of complications and survival for canine tracheal collapse. Measurements were obtained on lateral radiographs before and after stenting to determine percent of the trachea occupied by the stent. These values were monitored over time and compared to complication rates and survival. Overall median survival time was 502 days. Six month survival rate was 78%, 1 yr survival was 60%, and 2 yr survival was 26%. Median percent of trachea occupied by the stent at initial placement was 79% (range, 41-93%). Percent of the trachea occupied by the stent at the time of placement did not significantly correlate to complication rate (0.397) or survival time (0.853). Incidence of serious complications was 37%, including granuloma formation, pneumonia, material failure, and stent migration. For patients experiencing serious complications, median survival was shorter, at 208 days, but was not significantly different from survival without serious complications. Within the margins of the data from this study, the proportion of the trachea occupied by the stent at the time of placement does not appear to impact incidence of complications or survival time in dogs with tracheal collapse.

摘要

该研究的目的是确定腔内支架的相对大小和放置位置对犬气管塌陷并发症发生率和存活率的影响。在置入支架前后获取侧位X线片测量数据,以确定支架占据气管的百分比。这些数值随时间进行监测,并与并发症发生率和存活率进行比较。总体中位生存时间为502天。6个月生存率为78%,1年生存率为60%,2年生存率为26%。初始放置时支架占据气管的中位百分比为79%(范围为41%-93%)。放置时支架占据气管的百分比与并发症发生率(0.397)或生存时间(0.853)无显著相关性。严重并发症的发生率为37%,包括肉芽肿形成、肺炎、材料故障和支架移位。对于出现严重并发症的患者,中位生存时间较短,为208天,但与未出现严重并发症的患者的生存时间无显著差异。在本研究的数据范围内,放置时支架占据气管的比例似乎不会影响气管塌陷犬的并发症发生率或生存时间。

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