治疗腹主动脉覆膜支架感染不同方法的策略与结果
Strategies and outcomes of different methods for treating abdominal aortic stent graft infection.
作者信息
Zhang Mengqiang, Chen Zhipeng, Tang Chen, Liu Cheng, Li Xiaoqiang, Liu Zhao, Qiao Tong
机构信息
Department of Vascular Surgery, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China.
出版信息
Front Cardiovasc Med. 2023 Aug 7;10:1180050. doi: 10.3389/fcvm.2023.1180050. eCollection 2023.
OBJECTIVE
To report the strategies and short-term results of different treatment methods for abdominal aortic stent graft infection.
METHODS
Six consecutive patients (5 males and 1 female; mean age: 64 years; age range: 49-79 years) received surgical treatment for stent graft infection from November 2021 to December 2022. All patients underwent endovascular aortic repair (EVAR) for abdominal aortic and iliac artery disease, subsequently developed graft infection and then received corresponding surgical treatment with different materials (artificial blood vessel, bovine pericardium, autologous great saphenous vein) in our department. The outcomes were analysed.
RESULTS
Immediate technical success was achieved intraoperatively in all six patients. The 30-day mortality rate was 0%. During a mean follow-up of 4 months (range, 3-13 months), one patient underwent a second operation due to vascular anastomotic haemorrhage and underwent bilateral limb amputations due to ischaemia. All patients survived.
CONCLUSIONS
In the short term, the different materils and methods used to treat aortic stent graft infection achieved satisfactory results.
目的
报告腹主动脉支架移植物感染不同治疗方法的策略及短期结果。
方法
2021年11月至2022年12月，6例连续患者（5例男性，1例女性；平均年龄64岁；年龄范围49 - 79岁）接受了支架移植物感染的手术治疗。所有患者均因腹主动脉和髂动脉疾病接受了血管腔内主动脉修复术（EVAR），随后发生移植物感染，然后在我科接受了不同材料（人工血管、牛心包、自体大隐静脉）的相应手术治疗。对结果进行了分析。
结果
所有6例患者术中均立即取得技术成功。30天死亡率为0%。在平均4个月（范围3 - 13个月）的随访期间，1例患者因血管吻合口出血接受了二次手术，并因缺血接受了双侧截肢。所有患者均存活。
结论
短期内，用于治疗主动脉支架移植物感染的不同材料和方法取得了满意的结果。
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