Endovascular Aneurysm Sealing Is Associated With Reduced Radiation Exposure and Procedure Time Compared With Standard Endovascular Aneurysm Repair

Endovascular Aneurysm Sealing Is Associated With Reduced Radiation Exposure and Procedure Time Compared With Standard Endovascular Aneurysm Repair
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DOI:
10.1177/1526602816628283
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发表时间:
2016-04-01
影响因子:
2.6
通讯作者:
Torella, Francesco
Torella, Francesco
中科院分区:
医学2区
文献类型:
--
作者:
Antoniou, George A.;Senior, Yashika;Torella, Francesco

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目的:比较腹主动脉瘤(AAA)治疗中动脉瘤腔内密封(EVAS)和动脉瘤腔内修复术(EVAR)之间的辐射暴露和手术时间的间接测量值。研究方法:该研究比较了2013年11月至2015年5月期间接受标准EVAS治疗的32例AAA连续患者(平均年龄78岁; 21例男性)与接受腹主动脉瘤腔内修复术治疗的32例连续患者(平均年龄78岁; 25例男性)。询问电子病历和图像存档数据库,以检索相关信息和扫描。筛选时间和剂量面积乘积(DAP)是主要结局指标。数据以中位数和四分位距(IQR)表示。采用斯皮尔曼秩系数()检验相关性。结果:EVAS的筛选时间短于EVAR [16(IQR 14,20)vs 32(IQR 26,38)分钟; p
Purpose: To compare indirect measures of radiation exposure and operating time between endovascular aneurysm sealing (EVAS) and endovascular aneurysm repair (EVAR) for the treatment of abdominal aortic aneurysm (AAA). Methods: The study compared 32 consecutive patients (mean age 78 years; 21 men) with AAA who underwent standard EVAS with 32 consecutive patients (mean age 78 years; 25 men) treated with EVAR between November 2013 and May 2015. Electronic medical records and image archiving databases were interrogated to retrieve relevant information and scans. Screening time and dose area product (DAP) were the primary outcome measures. Data are presented as median and interquartile range (IQR). Correlations were tested with the Spearman rank coefficient (). Results: The screening time was shorter in EVAS than in EVAR [16 (IQR 14, 20) vs 32 (IQR 26, 38) minutes; p