B型主动脉夹层假腔血栓形成的影响因素。

IF 2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS Arquivos Brasileiros de Cardiologia Pub Date : 2023-07-28 eCollection Date: 2023-01-01 DOI:10.36660/abc.20220939
Qian-Hui Tang, Jing Chen, Han Yang, Zhong Qin, Qiu-Ning Lin, Xiao Qin
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引用次数: 1

摘要

背景:假腔完全血栓形成有利于B型主动脉夹层(TBAD)的重塑。形态学特征影响假腔血栓形成。目的:探讨TBAD患者入院前存在的影响假腔血栓形成的因素。方法:对2008年1月至2017年12月在我院诊断为TBAD的282例患者进行研究。根据假腔内是否检测到血栓,我们将受试者分为血栓形成组和非血栓形成组。我们分析了两组在临床资料、夹层垂直长度和主动脉直径方面的差异。P值< 0.05认为差异有统计学意义。结果:血栓形成组与非血栓形成组在年龄(53.92±11.40∶50.36±10.71∶p = 0.009)、肾功能不全比例(7.83%∶16.38%∶p = 0.026)方面存在显著差异。在3 ~ 9区,血栓组的真腔直径明显大于非血栓组(p < 0.05)。二元logistic回归分析显示,5区真实管腔直径和肾功能不全是假管腔血栓形成的独立预测因素。结论:年龄和肾功能与假腔血栓形成有关。真腔直径和假腔直径之间的差异可能会影响假腔的血栓形成。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Factors Affecting False Lumen Thrombosis In Type B Aortic Dissection.

Background: Complete thrombosis of the false lumen facilitates remodeling of type B aortic dissection (TBAD). Morphological characteristics affect thrombosis in the false lumen.

Objectives: Discuss the factors present before admission that influence false lumen thrombosis in patients with TBAD.

Methods: We studied 282 patients diagnosed with TBAD in our hospital between January 2008 and December 2017. We divided the subjects into a thrombotic group and a non-thrombotic group based on whether any thrombus was detectable in the false lumen. We analyzed the differences between the two groups with respect to clinical data, the vertical length of the dissection, and the diameter of the aorta. P values < 0.05 were considered statistically significantly different.

Results: Significant differences between the thrombotic group and non-thrombotic group were found with respect to age (53.92 ± 11.40 vs. 50.36 ± 10.71, p = 0.009) and proportion of patients with renal insufficiency (7.83% vs. 16.38%, p = 0.026). In zones 3-9, the true lumen diameter of the thrombotic group was significantly larger than in the non-thrombotic group (p < 0.05). Binary logistic regression analysis showed that true lumen diameter in zone 5 and renal insufficiency were independent predictors of false lumen thrombosis.

Conclusions: Age and renal function were associated with thrombosis in the false lumen. Potentially, the difference between the diameter of the true lumen diameter and that of the false lumen may influence the thrombosis of the false lumen.

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来源期刊
Arquivos Brasileiros de Cardiologia
Arquivos Brasileiros de Cardiologia 医学-心血管系统
CiteScore
3.70
自引率
30.80%
发文量
234
审稿时长
3-8 weeks
期刊介绍: With more than 70 years of existence, Arquivos Brasileiros de Cardiologia is the main channel for the dissemination of Brazilian scientific research on cardiovascular sciences. Published in two languages and indexed in major international databases, all scientific contributions are peer-reviewed and reviewed by editorial board members selected among the most reputable researchers in Brazil and abroad. The manuscripts are reviewed according to their relevance and originality, scientific accuracy and level of importance for the advancement of science. With an average time of nine months between the initial submission and the effective publication of the manuscripts, and less than seven months until they are published on PubMed, Arquivos Brasileiros de Cardiologia can ensure the quick inclusion of the researchers’ papers in the international literature.
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