摘要
目的回顾性分析腹主动脉瘤腔内修复术(endovascularrepair,EVAR)后髂支闭塞的影响因素。方法回顾性的收集2021年1月—2023年6月在南昌大学第一附属医院诊治的180例腹主动脉瘤EVAR患者病例资料,根据是否发生髂支闭塞分成闭塞组20例和对照组160例。Logistic回归分析腹主动脉瘤腔内修复术后髂支闭塞的影响因素。结果与对照组比较,发生组术前髂动脉狭窄≥50%、髂动脉扭曲≥60°、髂支支架远端口径放大率≥15%的人数占比较大,D-二聚体、FIB水平较高(P<0.05)。D-二聚体及FIB水平、髂动脉扭曲≥60°、患者术前髂动脉狭窄≥50%、髂支支架远端口径放大率≥15%是腹主动脉瘤腔内修复术后髂支闭塞的影响因素(P<0.05)。结论患者术前髂动脉狭窄≥50%、髂动脉扭曲≥60°、髂支支架远端口径放大率≥15%、D-二聚体>1.89mg/L、FIB>2.95g/L可提示动脉瘤腔内修复术后髂支闭塞的发生风险较高,可用于指导临床采取相应干预措施,以降低髂支闭塞的发生率,改善患者预后。
Objective To retrospectively analyze the influencing factors of iliac branch occlusion after endovascular repair(EVAR)for abdominal aortic aneurysm.Methods We retrospectively collected case data of 180 patients with abdominal aortic aneurysm EVAR treated in the First Affiliated Hospital of Nanchang University from January 2021 to June 2023,and divided them into 20 cases of occluded iliac branch and 160 cases of control group according to the occurrence of iliac branch occlusion,and analyzed the influences of iliac branch occlusion after endovascular repair of abdominal aortic aneurysm by logistic regression.Results Compared with the control group,the occurrence group had a larger number of preoperative iliac artery stenosis≥50%,iliac artery twist≥60°,and iliac branch stent distal caliber magnification≥15%,and higher levels of D-dimer and FIB(P<0.05).The levels of D-dimer and FIB,iliac artery twist≥60°,the patients'preoperative iliac artery stenosis≥50%,and iliac branch stent distal caliber magnification≥15% were the influencing factors of iliac branch occlusion after endoluminal repair of abdominal aortic aneurysm(P<0.05).Conclusion Patients with preoperative iliac artery stenosis≥50%,iliac artery tortuosity≥60°,iliac branch stent distal caliber magnification≥15%,D-dimer>1.89 mg/L,and FIB>2.95 g/L may indicate a higher risk of iliac branch occlusion after endoluminal aneurysm repair,and may be used to guide clinical interventions to reduce the incidence of iliac branch occlusion and improve the prognosis of patients.
作者
张志鑫
蒲晨
刘强
杨兴龙
王国荣
万晓斌
赵艳平
ZHANG Zhi-xin;PU Chen;LIU Qiang;YANG Xing-long;WANG Guo-rong;WAN Xiao-bin;ZHAO Yan-ping(The First Affiliated Hospital of Nanchang University,Nanchang 330000,Jiangxi Province,China)
出处
《罕少疾病杂志》
2024年第12期110-111,118,共3页
Journal of Rare and Uncommon Diseases
基金
江西省卫生健康委科技计划项目(202130277)。
关键词
腹主动脉瘤
腹主动脉瘤腔内修复术
髂支闭塞
影响因素
Abdominal Aortic Aneurysm
Endoluminal Repair of Abdominal Aortic Aneurysm
Iliac Branch Occlusion
Influencing Factors
