醫病共享決策輔助工具

跳過此工具列
字級:
小字級
中字級
大字級
:::

乙型主動脈剝離手術治療,我該選擇微創手術還是傳統手術比較適合?

科別 外科
主題類別 循環系統
決策類型 治療
關鍵字 主動脈剝離、微創手術
適用病人條件 主動脈直徑為2-3公分,當您降主動脈直徑擴大至6公分,或急性發作、經過藥物治療仍無法控制血壓、持續感到有撕裂性疼痛、血流灌注不足,表示您主動脈剝離程度加劇並有破裂風險,需選擇手術治療。
可供選擇決策方案 傳統手術,微創手術
使用場所 病房
執行者 醫師、護理師、個案管理師
開發團隊、機構 臺北榮民總醫院外科部心臟血管外科
輔助工具研發過程說明

詳見研發報告。

參考文獻

Chou, H.P., Chang, H.T., Chen, C.K., Shih, C.C., Sung, S.H., Chen, T.J…& Chang, C.Y.(2015) Outcome comparison between thoracic endovascular and open repair for type B aortic dissection: A population-based longitudinal study.Journal of the Chinese Medical Association, 78(4),241-248. doi: 10.1016/j.jcma.2014.10.003.
Conrad, M. F., Ergul, E. A., Patel, V. I., Paruchuri, V., Kwolek, C. J., & Cambria, R. P. (2010). Management of diseases of the descending thoracic aorta in the endovascular era: A medicare population study. Annals of Surgery, 252(4), 603-610. doi: 10.1097/SLA.0b013e3181f4eaef
Garbade, J., Jenniches, M., Borger, M.A., Barten, M.J., Scheinert, D., Gutberlet, M., Walther, T., Mohr, F.W. (2010).Outcome of patients suffering from acute type B aortic dissection:A retrospective single-centre analysis of 135 consecutive patients. European Journal of Cardiothoracic Surgery, 38(3),285-292. doi: 10.1016/j.ejcts.2010.02.038.
Narayan, P., Wong, A., Davies, I., Angelini, G.D., Bryan, A.J., Wilde, P., Murphy, G.J.(2011).Thoracic endovascular repair versus open surgical repair -which is the more cost-effective intervention for descending thoracic aortic pathologies. European Journal of Cardiothoracic Surgery, 40(4),869-874. doi: 10.1016/j.ejcts.2011.01.010.
Mastroroberto, P., Onorati, F., Zofrea, S., Renzulli, A., Indolfi, C.(2010).Outcome of open and endovascular repair in acute type B aortic dissection: A retrospective and observational study.Journal Cariothorac Surgery, 5(23),1-7. doi: 10.1186/1749-8090-5-23
Patel, H.J., Williams, D.M., Upchurch, G.R., Dasika, N.L., Deeb, G.M. (2009).A comparative analysis of open and endovascular repair for the ruptured descending thoracic aorta. Journal of Vascular Surgery, 50(6)1265-1270. doi: 10.1016/j.jvs.2009.07.091.
Sachs, T., Pomposelli, F., Hagberg, R., Hamdan, A., Wyers, M., Giles, K…& Schermerhorn, M.(2010) .Open and endovascular repair of type B aortic dissection in the Nationwide Inpatient Sample. Journal of Vascular Surgery, 52(4),860-866. doi: 10.1016/j.jvs.2010.05.008.
Wilkinson, D. A., Patel, H. J., Williams, D. M., Dasika, N. L., & Deeb, G. M. (2013). Early open and endovascular thoracic aortic repair for complicated type B aortic dissection. Annals of Thoracic Surgery, 96(1), 23-30. doi: 10.1016/j.athoracsur.2013.01.041
Zeeshan, A., Woo, E.Y., Bavaria, J.E., Fairman, R.M., Desai, N.D., Pochettino, A…& Szeto, W.Y. (2010).Thoracic endovascular aortic repair for acute complicated type B aortic dissection: Superiority relative to conventional open surgical and medical therapy. The Journal of Thoracic and Cardicvascular Surgery, 140 (6),109-215. doi: 10.1016/j.jtcvs.2010.06.024.

版本 2020