the journal of cardiovascular surgery-360期刊网

您当前的位置: 首页 > SCI文献 > The Journal of cardiovascular surgery

The Journal of cardiovascular surgery A型急性主动脉夹层假腔段动脉与脊髓缺血的相关性。

影响因子：1.595 DOI：10.23736/S0021-9509.18.10639-2

作者： Kodama H,Takahashi S,Okazaki T,Morita S,Go S,Watanabe M,Yamane Y,Katayama K,Kurosaki T,Sueda T 发表时间：2020-07-09 12:20:34

from：《JOURNAL OF CARDIOVASCULAR SURGERY》

keywords： Kodama HTakahashi SOkazaki TMorita SGo SWatanabe MYamane YKatayama KKurosaki TSueda T

关键词：

Abstract

BACKGROUND:Spinal cord ischemia (SCI) and paraplegia are complications of surgery for type A acute aortic dissection (TAAAD). Since the segmental arteries play a key role in SCI, this study evaluated the association between SCI and false lumen segmental arteries (FLSAs: segmental arteries originating from the false lumen). METHODS:The study included 101 consecutive TAAAD patients (mean age, 66±13; range, 34-89 years) who underwent surgery from January 2011 to April 2017. The diagnosis of TAAAD and the number of FSLAs were determined by preoperative computed tomography (CT). Patients were divided into two groups according to the number of FLSAs at the Th9-L2 level: Group A (N.=13), ≥8 FLSAs; and group B (N.=88), ≤7 FLSAs. Preoperative, perioperative, and postoperative findings were compared between the groups, and risk factors for SCI were evaluated. RESULTS:The frequency of preoperative paralysis was significantly higher in Group A than Group B (P=.0070). The overall incidence of postoperative SCI was 8% (8/101) and significantly higher in Group A than Group B (5/13 [45%] vs. 3/88 (4%), P<0.0001). Hospital mortality was 8% (8/101) and significantly higher in Group A than Group B (3/13 [23%] vs. 5/88 [6%], P=.0302). Multivariate analysis showed that the independent risk factors for SCI were ≥8 FLSAs at Th9-L2 (odds ratio [OR], 20.4; 95% confidence interval [95% CI], 3.34-124.9, P=0.0011) and diabetes mellitus (OR, 22.3; 95% CI, 1.69-294.5; P=0.0184). CONCLUSIONS:In patients who underwent surgery for TAAAD, ≥8 FLSAs at the Th9-L2 levels on preoperative CT was a risk factor for SCI.

摘要

背景: 脊髓缺血 (SCI) 和截瘫是a型急性主动脉夹层 (TAAAD) 手术的并发症。由于节段动脉在SCI中起着关键作用，本研究评价了SCI与假腔段动脉 (FLSAs: 起源于假腔的节段动脉) 之间的关联。方法: 该研究纳入了从 2011 年 1 月至 2017 年 4 月接受手术的 101 例连续TAAAD患者 (平均年龄，66 ± 13 岁; 范围，34-89 岁)。通过术前计算机断层扫描 (CT) 确定TAAAD的诊断和fsla的数量。根据Th9-L2 水平的FLSAs数量将患者分为两组: A组 (N。= 13)，≥ 8 FLSAs; 和B组 (N。= 88)，≤ 7 FLSAs。比较各组的术前、围手术期和术后结果，并评估SCI的危险因素。结果: 术前瘫痪的频率A组明显高于B组 (P =.0070)。术后SCI总发生率为 8% (8/101)，A组显著高于B组 (5/13 [45%] vs. 3/88 (4% ), P<0.0001)。住院死亡率为 8% (8/101)，A组显著高于B组 (3/13 [23%] vs. 5/88 [6%]，P =.0302)。多因素分析显示SCI的独立危险因素为Th9-L2 ≥ 8 FLSAs (优势比 [OR]，20.4; 95% 可信区间 [95% CI]，3.34-124.9，P = 0.0011) 和糖尿病 (OR，22.3; 95% CI，1.69-294.5; P = 0.0184)。结论: 在接受手术治疗的TAAAD患者中，术前CT Th9-L2 水平 ≥ 8 FLSAs是SCI的危险因素。

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