...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Vascular and endovascular surgery >Femoral incision morbidity following endovascular aortic aneurysm repair.
【24h】

Femoral incision morbidity following endovascular aortic aneurysm repair.

机译：血管内主动脉瘤修复后的股骨切口发病率。

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Currently available aortic stent-grafts require bilateral femoral incisions for device deployment. The incidence of morbidity (infection, lymphatic complications, breakdown) of vertical, infrainguinal incisions used in endovascular aneurysm repair (EVAR) for abdominal aortic aneurysms (AAAs) was assessed, and the natural history of asymptomatic groin fluid collections following such procedures was determined. Between June 1999 and February 2001, 77 consecutive patients underwent EVAR for AAAs utilizing bilateral vertical femoral incisions. Fifty-nine (77%) bifurcated stent-grafts (BSGs), and 18 (23%) aortouniiliac (AUI) devices, with femorofemoral bypass were performed. Patients returned at 2 weeks, 1 month, and 6 months for physical examination, and 1 month and 6 months for abdominal and pelvic computed tomography (CT) scans. The presence of fluid collections was determined from the dictation report of the attending radiologist. Data are reported as (n) mean +/-SE. Patient characteristics were compared using Fisher's exact test; p<0.05 considered significant. There were 72 males and 5 females, age 75 +/-6.4 years and aneurysm size (77) 5.6 +/-0.8 cm. There were no cases of wound breakdown or lymph fistula. Wound infections occurred in 3/150 incisions (2%), 2/34 AUI incisions (6%), and 1/116 BSG incisions (0.86%). There was no statistical difference (p=0.13) between graft types (BSG vs AUI). All infections were diagnosed clinically before the 1-month CT scan, treated without operative intervention or hospitalization, and resolved. There was a significant decrease in the BSG group and overall in asymptomatic wound fluid collections from 1 to 6 months postoperatively. At 1 and 6 months, respectively, the BSG group had 17 (14.6%) and 3 (2.6%) fluid collections out of 116 incisions (p=0.003); the AUI group had 6 (17.6%) and 1 (2.9%) fluid collection(s) out of 34 incisions (p=0.13); and overall 23 (15.3%) and 4 (2.6%) out of 150 incisions (p=0.004). The present study demonstrates that bilateral vertical femoral incisions used in EVAR have a wound infection rate of 2.0%. Infections are usually detected and treated clinically and empirically without the need for hospitalization or surgery. Asymptomatic groin wound fluid collections resolve significantly within 6 months without intervention. Therefore, surgical femoral artery exposure adds little morbidity to the endovascular repair of abdominal aortic aneurysms.
机译：当前可用的主动脉支架移植物需要双侧股骨切口用于装置部署。评估了用于腹主动脉瘤（AAAs）的血管内动脉瘤修复（EVAR）的垂直，下导管切口的发病率（感染，淋巴并发症，破裂），并确定了按照此类程序收集无症状腹股沟液的自然史。在1999年6月至2001年2月之间，连续77例患者采用双侧垂直股骨切口行EVAA AAA治疗。进行了59例（77％）分叉支架移植（BSG）和18例（23％）主动脉单uni（AUI）装置，并进行股股动脉搭桥术。患者分别在2周，1个月和6个月时进行身体检查，并在1个月和6个月时进行腹部和骨盆计算机断层扫描（CT）扫描。根据主治放射科医生的口授报告确定是否存在液体收集物。数据报告为（n）平均值+/- SE。使用Fisher精确检验比较患者特征; p ＜0.05被认为是显着的。男72例，女5例，年龄75 +/- 6.4岁，动脉瘤大小（77）5.6 +/- 0.8厘米。没有伤口破裂或淋巴瘘的病例。伤口感染发生在3/150切口（2％），2/34 AUI切口（6％）和1/116 BSG切口（0.86％）中。移植物类型（BSG vs AUI）之间没有统计学差异（p = 0.13）。所有感染均在进行1个月的CT扫描之前在临床上得到了诊断，无需进行手术干预或住院就可以治疗，并且可以治愈。从术后1到6个月，BSG组和无症状伤口积液的总数均明显减少。在分别为1个月和6个月时，BSG组在116个切口中有17个（14.6％）和3个（2.6％）的液体收集物（p = 0.003）; AUI组在34个切口中有6个（17.6％）和1个（2.9％）积液（p = 0.13）; 150个切口中有23个（15.3％）和4个（2.6％）（p = 0.004）。本研究表明，EVAR中使用的双侧垂直股骨切口的伤口感染率为2.0％。通常在不需要住院或手术的情况下就可以在临床和经验上检测和治疗感染。无症状的腹股沟伤口液收集物在没有干预的情况下可在6个月内明显消失。因此，外科手术股动脉暴露对腹主动脉瘤的血管内修复几乎没有增加发病率。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号