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The Journal of cardiovascular surgery 颅外段颈动脉瘤开放修复术的单中心经验。

影响因子：1.595 DOI：10.23736/S0021-9509.16.09400-3

作者： Mascia D,Atique Gabriel S,Kahlberg A,Bertoglio L,Melissano G,Chiesa R 发表时间：2020-07-09 12:20:34

from：《JOURNAL OF CARDIOVASCULAR SURGERY》

keywords： Mascia DAtique Gabriel SKahlberg ABertoglio LMelissano GChiesa R

关键词：

Abstract

BACKGROUND:Our aim is to report our single center experience with extracranial carotid artery aneurysms (ECAA) open repair. METHODS:A retrospective review was performed including the perioperative and postoperative data of all patients who underwent ECAA repair between 2008 and 2015. The operative technique was based on aneurysm size, anatomical features and operative risk. RESULTS:Fourteen patients (6 men and 8 women, mean age 60.5 years) were admitted for ECAA. Thirteen patients (92.8%) were submitted to ECCA open repair while in one patient (7.2%) conservative treatment was realized. Bilateral lesions and concomitant internal carotid artery (ICA) kinking was observed in 2 cases (14.2%). Seven patients (50%) were asymptomatic at diagnosis and ECCA localization involved ICA in 9 cases (64.2-69.2%). Aneurysmectomy with end-to-end anastomosis was performed in 3 cases (23.07-23.1%), patch arterioplasty in 2 cases (15.38-15.4%), prosthetic graft interposition in 4 cases (30.76-30.7%), autologous vein graft bypass in 3 cases (23.07-23.1%) and artery ligation with distal ICA anastomosis in one case (7.6-7.6%). No perioperative deaths, major neurological complications and surgical reinterventions were recorded. Overall survival at a mean follow-up of 19.6 months (range 0-52 months) was 100%. CONCLUSIONS:ECAA open repair represents a safe surgical option, with lower prevalence of complications and no need for reintervention in high volume centers.

摘要

背景: 我们的目的是报告我们的颅外颈动脉动脉瘤 (ECAA) 开放修复术的单中心经验。方法: 回顾性分析 2008 年至 2015 年期间接受ECAA修复的所有患者的围手术期和术后资料。手术技术根据动脉瘤大小、解剖特征和手术风险。结果: 14 例患者 (6 例男性和 8 例女性，平均年龄 60.5 岁) 因ECAA入院。13 例 (92.8%) 患者行ECCA开放修复，1 例 (7.2%) 患者行保守治疗。双侧病变伴颈内动脉 (ICA) 扭结 2 例 (14.2%)。7 例 (50%) 诊断无症状，9 例 (64.2-69.2%) ECCA定位累及ICA。动脉瘤切除端端吻合 3 例 (23.07-23.1%)，补片动脉成形术 2 例 (15.38-15.4%)，人工移植物间置 4 例 (30.76-30.7%)，自体静脉移植旁路 3 例 (23.07-23.1%)，动脉结扎远端ICA吻合 1 例 (7.6-7.6%)。无围手术期死亡、主要神经系统并发症和手术再干预。平均随访 19.6 个月 (范围 0-52 个月) 时的总生存率为 100%。结论: ECAA开放性修复是一种安全的手术选择，并发症发生率较低，高容量中心不需要再干预。

期刊介绍

《JOURNAL OF CARDIOVASCULAR SURGERY》 (点击进入期刊详情)

英文简介 : A Journal on the Diagnosis and Therapy of Cardiac Thoracic and Vascular Diseases. Frequency: Bi-Monthly. Affiliated with the Society of Cardio-Thoracic Surgeons.

中文简介 : （来自Google、百度翻译）心胸血管疾病的诊断和治疗杂志。频率：双月。隶属于心胸外科医师协会。

CIRCULATION RESEARCH 期刊中科院评价数据

新中科院分区

大类(学科)	小类(学科)	学科排名
医学	CARDIAC & CARDIOVASCULAR SYSTEMS (心脏和心血管系统) PERIPHERAL VASCULAR DISEASE (外周血管病) SURGERY (外科)	110/128 59/65 145/200

大类(学科)

小类(学科)

学科排名

医学

CARDIAC & CARDIOVASCULAR SYSTEMS (心脏和心血管系统)

PERIPHERAL VASCULAR DISEASE (外周血管病)

SURGERY (外科)

110/128
59/65
145/200

新发布的期刊年发文量