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腹主动脉瘤破裂的手术策略及术后并发症的处理

Operative Strategy of Ruptured Abdominal Aortic Aneurysms and Management of Postoperative Complications.

作者信息

Ito Hiroyuki

机构信息

Division of Vascular Surgery, Cardiovascular and Aortic Center, Saiseikai Fukuoka General Hospital, Fukuoka, Fukuoka, Japan.

出版信息

Ann Vasc Dis. 2019 Sep 25;12(3):323-328. doi: 10.3400/avd.ra.19-00074.

DOI:10.3400/avd.ra.19-00074
PMID:31636741
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6766759/
Abstract

In addition to traditional open surgical repair (OSR), endovascular aneurysm repair (EVAR) is currently another strong option to treat RAAA. All vascular surgeons who try to save RAAA patients must be deeply versed in both OSR and EVAR. In this article, current trend of RAAA treatment and abdominal compartment syndrome, which has been most important postoperative complication, are reviewed. (This is a translation of Jpn J Vasc Surg 2019; 28: 127-132.).

摘要

除了传统的开放手术修复(OSR)外,血管内动脉瘤修复(EVAR)目前是治疗破裂性腹主动脉瘤(RAAA)的另一种有力选择。所有试图挽救RAAA患者的血管外科医生都必须精通OSR和EVAR。在本文中,对RAAA治疗的当前趋势以及作为最重要术后并发症的腹腔间隔室综合征进行了综述。(本文是对《日本血管外科学杂志》2019年;28: 127 - 132的翻译。)

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec35/6766759/57dc66b924dd/avd-12-3-ra.19-00074-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec35/6766759/3f3429569eab/avd-12-3-ra.19-00074-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec35/6766759/964120d5f479/avd-12-3-ra.19-00074-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec35/6766759/57dc66b924dd/avd-12-3-ra.19-00074-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec35/6766759/3f3429569eab/avd-12-3-ra.19-00074-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec35/6766759/964120d5f479/avd-12-3-ra.19-00074-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec35/6766759/57dc66b924dd/avd-12-3-ra.19-00074-figure03.jpg

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J Vasc Surg. 2018 Oct;68(4):991-997. doi: 10.1016/j.jvs.2017.12.075. Epub 2018 May 9.
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Real-world evidence of superiority of endovascular repair in treating ruptured abdominal aortic aneurysm.血管内修复治疗破裂性腹主动脉瘤的真实世界证据优于传统开放手术。
J Vasc Surg. 2018 Jul;68(1):74-81. doi: 10.1016/j.jvs.2017.11.065. Epub 2018 Mar 20.
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The Society for Vascular Surgery practice guidelines on the care of patients with an abdominal aortic aneurysm.
血管外科学会治疗腹主动脉瘤患者的实践指南。
J Vasc Surg. 2018 Jan;67(1):2-77.e2. doi: 10.1016/j.jvs.2017.10.044.
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Predictive models for mortality after ruptured aortic aneurysm repair do not predict futility and are not useful for clinical decision making.主动脉瘤破裂修复术后死亡率的预测模型无法预测治疗的无效性,对临床决策也没有帮助。
J Vasc Surg. 2016 Dec;64(6):1617-1622. doi: 10.1016/j.jvs.2016.07.121.
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Evaluation of five different aneurysm scoring systems to predict mortality in ruptured abdominal aortic aneurysm patients.评估五种不同的动脉瘤评分系统以预测腹主动脉瘤破裂患者的死亡率。
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Endovascular or open repair strategy for ruptured abdominal aortic aneurysm: 30 day outcomes from IMPROVE randomised trial.腹主动脉瘤破裂的腔内或开放修复策略:来自 IMPROVE 随机试验的 30 天结果。
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