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Annals of vascular surgery 使用倾向评分匹配分析的比较分析: 颈动脉内膜切除术中的一期闭合与补片成形术。
影响因子:1.607 DOI:10.1016/j.avsg.2018.11.011
作者: Chung BH,Heo SH,Park YJ,Kim YW,Woo SY,Kim DI 发表时间:2020-07-10 14:30:39
keywords: Chung BHHeo SHPark YJKim YWWoo SYKim DI
关键词:
Abstract
BACKGROUND:Primary closure (PC) and patch angioplasty (PA) during carotid endarterectomy (CEA) have been disputed in many studies. Some studies announced that PC is associated with a higher restenosis rate. The aim of this study was to evaluate the outcomes of PC and PA using propensity score matching (PSM). METHODS:Between November 1994 and October 2016, 1,044 patients underwent primary CEA procedures at our institution and were retrospectively analyzed. The study endpoints included rates of ipsilateral stroke, any clinical stroke, cranial nerve palsy, hematoma, bleeding warranting repeat surgery within 30 postoperative days. We also investigated the restenosis rates, overall survival, stenosis-free survival, and stroke-free survival during follow-up (median follow-up 37.1 months). RESULTS:This study includes 435 cases of PC and 476 cases of PA. After PSM analysis, baseline characteristics (age, gender, hypertension, diabetes, dyslipidemia, smoking, atrial fibrillation, previous percutaneous coronary intervention or coronary artery bypass grafting, contralateral carotid occlusion, degree of carotid stenosis, and symptomatic status within 6 months) were balanced. Finally, 377 pairs of matched cases were analyzed. Statistical analysis showed no significant differences between the 2 groups in ipsilateral stroke (P = 0.45), clinical stroke (P = 0.75), cranial nerve palsy (P = 1), hematoma (P = 0.18), bleeding which required reoperation (P = 0.12) within 30 postoperative days, and restenosis rates during follow-up (P = 0.16). In addition, there were no differences between the 2 groups during follow-up in overall, stroke-free, and restenosis-free survival with P values of 0.136, 0.07, and 0.06, respectively. CONCLUSIONS:According to the analysis using PSM, there were no significant differences between PC and PA closure during CEA in perioperative and long-term outcomes.
摘 要
背景: 在颈动脉内膜切除术 (CEA) 中,一期闭合 (PC) 和补片血管成形术 (PA) 在许多研究中存在争议。一些研究宣布PC与较高的再狭窄率相关。本研究的目的是使用倾向评分匹配 (PSM) 评价PC和PA的结局。 方法: 在 1994 年 11 月至 2016 年 10 月期间,1,044 例患者在我们机构接受了初次CEA手术,并进行了回顾性分析。研究终点包括同侧卒中、任何临床卒中、颅神经麻痹、血肿、术后 30 天内需要重复手术的出血的发生率。我们还调查了随访期间 (中位随访 37.1 个月) 的再狭窄率、总生存率、无狭窄生存率和无卒中生存率。 结果: 本研究包括 435 例PC和 476 例PA。PSM分析后,基线特征 (年龄、性别、高血压、糖尿病、血脂异常、吸烟、房颤、既往经皮冠状动脉介入治疗或冠状动脉旁路移植术、对侧颈动脉闭塞、颈动脉狭窄程度,6 个月内症状状态) 平衡。最后,对 377 对匹配的病例进行了分析。统计学分析显示,两组在同侧脑卒中 (P = 0.45) 、临床脑卒中 (P = 0.75) 、脑神经麻痹 (P = 1) 、血肿 (P = 0.18) 、术后 30 天内需要再次手术的出血 (P = 0.12) 和随访期间的再狭窄率(P = 0.16)。此外,随访期间两组的总体、无卒中生存率和无再狭窄生存率无差异,p值分别为 0.136 、 0.07 和 0.06。 结论: 根据PSM分析,CEA期间PC和PA闭合在围手术期和长期结局方面无显著差异。
期刊介绍
《ANNALS OF VASCULAR SURGERY》 (点击进入期刊详情)
英文简介 : Annals of Vascular Surgery, published eight time a year, invites original manuscripts reporting clinical and experimental work in vascular surgery for peer review. Articles may be submitted for the following sections of the journal: Clinical Research (reports of clinical series, new drug or medical device trials) Basic Science Research (new investigations, experimental work) Case Reports (reports on a limited series of patients) General Reviews (scholarly review of the existing literature on a relevant topic) Developments in Endovascular and Endoscopic Surgery Selected Techniques (technical maneuvers) Historical Notes (interesting vignettes from the early days of vascular surgery) Editorials/Correspondence Annals of Vascular Surgery provides solid, peer reviewed coverage of clinical and experimental work in vascular surgery. Published eight times a year, Annals includes original research articles, basic science research, surgical notes and techniques, reviews and case reports. The journal is the official publication for the Brazilian Society of Angiology and Vascular Surgery, the French Society for Vascular Surgery, the Peripheral Vascular Surgery Society, the Southern California Vascular Surgical Society, Vascular Interventional Advances (VIVA), the Vascular Society of India and the Vascular Surgeons of Spanish Language.
中文简介 : (来自Google、百度翻译) 《血管外科年鉴》每年出版八次,邀请报道血管外科临床和实验工作的原始手稿供同行评审。可提交期刊以下章节的文章: 临床研究(临床系列、新药或医疗器械试验报告) 基础科学研究(新调查、实验工作) 病例报告(有限系列患者的报告) 一般评论(对相关主题现有文献的学术评论) 血管内和内镜手术的发展 选定技术(技术操作) 历史记录(血管外科早期有趣的小插曲) 社论/通信 《血管外科年鉴》为血管外科的临床和实验工作提供了可靠的同行评审的报道。年鉴每年出版八次,包括原始研究文章、基础科学研究、手术笔记和技术、评论和病例报告。该杂志是巴西血管外科学会、法国血管外科学会、外周血管外科学会、南加州血管外科学会、血管介入进展(VIVA)、印度血管学会和西班牙语言的血管外科医生的官方出版物。
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

PERIPHERAL VASCULAR DISEASE (外周血管病)

SURGERY (外科)

53/65
129/200
新发布的期刊年发文量
年度总发文量 年度论文发表量 年度综述发表量
554 516 38

总被引频次 :4813

特征因子 : 0.008400

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