不同年龄组颈动脉内膜切除术后一年的疗效:俄罗斯多中心研究。

IF 0.7 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Indian Journal of Thoracic and Cardiovascular Surgery Pub Date : 2024-11-01 Epub Date: 2024-06-19 DOI:10.1007/s12055-024-01753-2
Anton Kazantsev, Alexander Korotkikh, Roman Leader, Sergey Artyukhov, Lyudmila Roshkovskaya, Vladimir Unguryan, Maxim Chernyavin, Belov Yury
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引用次数: 0

摘要

简介:这是一项对不同年龄组颈动脉内膜切除术(CEA)结果的回顾性分析:这是一项对不同年龄组颈动脉内膜剥脱术(CEA)效果的回顾性分析:这项2008年至2020年的队列、比较、回顾性、开放标签研究纳入了7248例颈内动脉(ICA)血流动力学显著狭窄的患者,他们都接受了颈动脉内膜剥脱术(CEA)。根据世界卫生组织的分类,患者按年龄分为:44岁以下-年轻组(84人);45-60岁-中年组(1635人);61-75岁-老年组(4817人);75岁以上-高龄组(712人):就住院并发症的发生频率而言,75岁以上年龄组患者经历的心血管事件最多。术后一年,各组并发症发生率无明显差异:死亡(第 1 组,1.2%;第 2 组,0.5%;第 3 组,0.4%;第 4 组,1%;P = 0.14)、心肌梗死(第 1 组,1.2%;第 2 组,0.3%;第 3 组,0.14%;第 4 组,0.3%;P = 0.12)、中风(第 1 组,0%;第 2 组,0.3%;第 3 组,0.1%;第 4 组,0.4%;P = 0.32):CEA术后发生心血管不良事件最多的是75岁以上的患者,这是因为多支血管冠状动脉病变、心房颤动和严重的合并症发生率较高。术后一年,两组患者的并发症发生率无明显差异。
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One year outcomes following of carotid endarterectomy in different age groups: Russian multicenter study.

Introduction: This is a retrospective analysis of the results of carotid endarterectomy (CEA) in different age groups.

Methods: This cohort, comparative, retrospective, open-label study for the period from 2008 to 2020 included 7248 patients with hemodynamically significant stenoses of the internal carotid artery (ICA), who underwent CEA. According to the classification of the World Health Organization, patients were divided into groups depending on age: up to 44 years-young age (n = 84); 45-60 years-middle age (n = 1635); 61-75-elderly age (n = 4817); over 75 years-senile age (n = 712).

Results: In terms of the frequency of hospital complications, the group of patients over 75 years of age experienced the largest number of cardiovascular events. One year after surgery, there were no significant differences in the incidence of complications between groups: death (group 1, 1.2%; group 2, 0.5%; group 3, 0.4%; group 4, 1%; p = 0.14), myocardial infarction (group 1, 1.2%; group 2, 0.3%; group 3, 0.14%; group 4, 0.3%; p = 0.12), stroke (group 1, 0%; group 2, 0.3%; group 3, 0.1%; group 4, 0.4%; p = 0.32).

Conclusion: The largest number of adverse cardiovascular events after CEA are observed among patients over 75 years of age, which is due to the high frequency of multivessel coronary lesions, atrial fibrillation, and the severity of the comorbidities. One year after surgery, there were no significant differences in the incidence of complications between groups.

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来源期刊
Indian Journal of Thoracic and Cardiovascular Surgery
Indian Journal of Thoracic and Cardiovascular Surgery CARDIAC & CARDIOVASCULAR SYSTEMS-
CiteScore
1.20
自引率
14.30%
发文量
141
期刊介绍: The primary aim of the Indian Journal of Thoracic and Cardiovascular Surgery is education. The journal aims to dissipate current clinical practices and developments in the area of cardiovascular and thoracic surgery. This includes information on cardiovascular epidemiology, aetiopathogenesis, clinical manifestation etc. The journal accepts manuscripts from cardiovascular anaesthesia, cardiothoracic and vascular nursing and technology development and new/innovative products.The journal is the official publication of the Indian Association of Cardiovascular and Thoracic Surgeons which has a membership of over 1000 at present.DescriptionThe journal is the official organ of the Indian Association of Cardiovascular-Thoracic Surgeons. It was started in 1982 by Dr. Solomon Victor and ws being published twice a year up to 1996. From 2000 the editorial office moved to Delhi. From 2001 the journal was extended to quarterly and subsequently four issues annually have been printed out at time and regularly without fail. The journal receives manuscripts from members and non-members and cardiovascular surgeons. The manuscripts are peer reviewed by at least two or sometimes three or four reviewers who are on the panel. The manuscript process is now completely online. Funding the journal comes partially from the organization and from revenue generated by subscription and advertisement.
期刊最新文献
Caps, masks, aprons, and gloves - necessary evils? Looking ahead: Incorporation of objective assessment methods, surgical simulation and 3D-printed models to improve technical skills of a cardiac surgeon in training in the Indian context. One year outcomes following of carotid endarterectomy in different age groups: Russian multicenter study. Research designs for cardiothoracic surgeons: part 1 - a primer for evidence-based practice. A histology and immunochemistry study comparing open versus close and open-method endoscopic saphenous vein harvesting.
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