J Vasc Surg :近端支架联合或不联合远端裸支架治疗主动脉夹层荟萃分析

2020-10-29 《门诊》杂志 门诊新视野

近端覆膜支架植入联合远端裸支架植入术的有效性和安全性因缺乏证据而备受争议。来自上海交通大学医学院附属第九人民医院血管外科陆信武团队就这一问题开展了系统回顾和荟萃分析,比较了尽管覆膜支架联合远端裸支架植

近端覆膜支架植入联合远端裸支架植入术的有效性和安全性因缺乏证据而备受争议。来自上海交通大学医学院附属第九人民医院血管外科陆信武团队就这一问题开展了系统回顾和荟萃分析,比较了尽管覆膜支架联合远端裸支架植入术(BS组)与单纯近端覆膜支架植入术(非BS组)的疗效,该研究[1]于2020年4月15日发表在Journal of Vascular Surgery杂志网站上。

研究方法

研究者从MEDLINE、EMBASE和Cochrane Central Register中搜索对照试验数据和关键参考文献,时间截至2019年1月26日。预期结果包括:死亡率、发病率和主动脉重建的术后评估。然后,使用固定效应模型或随机效应模型来汇总关注结果的风险比(RR)。

研究结果

共纳入8项观察性研究,涉及914名患者。主动脉相关总死亡率(RR 0.54;CI 0.24~1.24;P=0.15),胸主动脉假腔(FL)完全血栓化比率(RR 1.23;CI 0.83~1.81;P=0.30)或腹主动脉FL完全血栓化比率(RR 1.96;CI 0.68~5.69;P=0.21)BS组与非BS组间无显着性差异。BS组胸主动脉FL部分血栓化比率较低(RR 0.40;CI 0.25~0.65;P=0.0002),支架源性新发破口(SINE)发生率较低(RR 0.08;CI 0.02~0.41;P=0.003)以及再干预率较低(RR 0.42;CI 0.26~0.69;P=0.0005)。

总 结

近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。不过,还需要采用更严格的方法开展进一步研究。

原始出处:

Peng Qiu, Binshan Zha, Xu Zhang, et al. A Meta-Analysis of Combined Proximal Stent Grafting with or without Adjunctive Distal Bare Stent for the Management of Aortic Dissection. Journal of Vascular Surgery. DOI: https://doi.org/10.1016/j.jvs.2020.02.052.

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    2021-08-01 venlin
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  4. [GetPortalCommentsPageByObjectIdResponse(id=1681393, encodeId=0d131681393eb, content=<a href='/topic/show?id=366b8e2299e' target=_blank style='color:#2F92EE;'>#荟萃#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87229, encryptionId=366b8e2299e, topicName=荟萃)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c12d27855367, createdName=venlin, createdTime=Sun Aug 01 14:55:43 CST 2021, time=2021-08-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1836953, encodeId=2a37183695310, content=<a href='/topic/show?id=1f188e230c5' target=_blank style='color:#2F92EE;'>#荟萃分析#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87230, encryptionId=1f188e230c5, topicName=荟萃分析)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b79433, createdName=fangcong, createdTime=Wed Jul 14 17:55:43 CST 2021, time=2021-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1743997, encodeId=af541e439976c, content=<a href='/topic/show?id=13c85e1104f' target=_blank style='color:#2F92EE;'>#支架治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57110, encryptionId=13c85e1104f, topicName=支架治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63635244111, createdName=jeanqiuqiu, createdTime=Tue Dec 22 11:55:43 CST 2020, time=2020-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1939113, encodeId=99d61939113d8, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Fri Nov 20 22:55:43 CST 2020, time=2020-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=896532, encodeId=6179896532cb, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Nov 03 10:43:03 CST 2020, time=2020-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415702, encodeId=fe321415e02f7, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519610, encodeId=9ca91519610e7, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1579515, encodeId=1f5115e9515c0, content=<a href='/topic/show?id=3afd942e905' target=_blank style='color:#2F92EE;'>#近端#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94279, encryptionId=3afd942e905, topicName=近端)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=da2116536440, createdName=hittouch, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895656, encodeId=5aed895656d4, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Fri Oct 30 16:06:35 CST 2020, time=2020-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895646, encodeId=c3da895646e6, content=加油,很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=33ee5216569, createdName=1476f000m96暂无昵称, createdTime=Fri Oct 30 15:28:05 CST 2020, time=2020-10-30, status=1, ipAttribution=)]
    2020-11-20 quxin068
  5. 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topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519610, encodeId=9ca91519610e7, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1579515, encodeId=1f5115e9515c0, content=<a href='/topic/show?id=3afd942e905' target=_blank style='color:#2F92EE;'>#近端#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94279, encryptionId=3afd942e905, topicName=近端)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=da2116536440, createdName=hittouch, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895656, encodeId=5aed895656d4, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Fri Oct 30 16:06:35 CST 2020, time=2020-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895646, encodeId=c3da895646e6, content=加油,很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=33ee5216569, createdName=1476f000m96暂无昵称, createdTime=Fri Oct 30 15:28:05 CST 2020, time=2020-10-30, status=1, ipAttribution=)]
    2020-11-03 Lexi

    近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。

    0

  6. 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encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Fri Nov 20 22:55:43 CST 2020, time=2020-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=896532, encodeId=6179896532cb, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Nov 03 10:43:03 CST 2020, time=2020-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415702, encodeId=fe321415e02f7, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519610, encodeId=9ca91519610e7, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1579515, encodeId=1f5115e9515c0, content=<a href='/topic/show?id=3afd942e905' target=_blank style='color:#2F92EE;'>#近端#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94279, encryptionId=3afd942e905, topicName=近端)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=da2116536440, createdName=hittouch, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895656, encodeId=5aed895656d4, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Fri Oct 30 16:06:35 CST 2020, time=2020-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895646, encodeId=c3da895646e6, content=加油,很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=33ee5216569, createdName=1476f000m96暂无昵称, createdTime=Fri Oct 30 15:28:05 CST 2020, time=2020-10-30, status=1, ipAttribution=)]
  7. 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createdName=fangcong, createdTime=Wed Jul 14 17:55:43 CST 2021, time=2021-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1743997, encodeId=af541e439976c, content=<a href='/topic/show?id=13c85e1104f' target=_blank style='color:#2F92EE;'>#支架治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57110, encryptionId=13c85e1104f, topicName=支架治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63635244111, createdName=jeanqiuqiu, createdTime=Tue Dec 22 11:55:43 CST 2020, time=2020-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1939113, encodeId=99d61939113d8, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Fri Nov 20 22:55:43 CST 2020, time=2020-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=896532, encodeId=6179896532cb, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Nov 03 10:43:03 CST 2020, time=2020-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415702, encodeId=fe321415e02f7, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519610, encodeId=9ca91519610e7, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1579515, encodeId=1f5115e9515c0, content=<a href='/topic/show?id=3afd942e905' target=_blank style='color:#2F92EE;'>#近端#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94279, encryptionId=3afd942e905, topicName=近端)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=da2116536440, createdName=hittouch, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895656, encodeId=5aed895656d4, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Fri Oct 30 16:06:35 CST 2020, time=2020-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895646, encodeId=c3da895646e6, content=加油,很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=33ee5216569, createdName=1476f000m96暂无昵称, createdTime=Fri Oct 30 15:28:05 CST 2020, time=2020-10-30, status=1, ipAttribution=)]
  8. [GetPortalCommentsPageByObjectIdResponse(id=1681393, encodeId=0d131681393eb, content=<a href='/topic/show?id=366b8e2299e' target=_blank style='color:#2F92EE;'>#荟萃#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87229, encryptionId=366b8e2299e, topicName=荟萃)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c12d27855367, createdName=venlin, createdTime=Sun Aug 01 14:55:43 CST 2021, time=2021-08-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1836953, encodeId=2a37183695310, content=<a href='/topic/show?id=1f188e230c5' target=_blank style='color:#2F92EE;'>#荟萃分析#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87230, encryptionId=1f188e230c5, topicName=荟萃分析)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b79433, createdName=fangcong, createdTime=Wed Jul 14 17:55:43 CST 2021, time=2021-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1743997, encodeId=af541e439976c, content=<a href='/topic/show?id=13c85e1104f' target=_blank style='color:#2F92EE;'>#支架治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57110, encryptionId=13c85e1104f, topicName=支架治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63635244111, createdName=jeanqiuqiu, createdTime=Tue Dec 22 11:55:43 CST 2020, time=2020-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1939113, encodeId=99d61939113d8, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Fri Nov 20 22:55:43 CST 2020, time=2020-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=896532, encodeId=6179896532cb, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Nov 03 10:43:03 CST 2020, time=2020-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415702, encodeId=fe321415e02f7, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519610, encodeId=9ca91519610e7, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1579515, encodeId=1f5115e9515c0, content=<a href='/topic/show?id=3afd942e905' target=_blank style='color:#2F92EE;'>#近端#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94279, encryptionId=3afd942e905, topicName=近端)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=da2116536440, createdName=hittouch, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895656, encodeId=5aed895656d4, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Fri Oct 30 16:06:35 CST 2020, time=2020-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895646, encodeId=c3da895646e6, content=加油,很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=33ee5216569, createdName=1476f000m96暂无昵称, createdTime=Fri Oct 30 15:28:05 CST 2020, time=2020-10-30, status=1, ipAttribution=)]
    2020-10-31 hittouch
  9. [GetPortalCommentsPageByObjectIdResponse(id=1681393, encodeId=0d131681393eb, content=<a href='/topic/show?id=366b8e2299e' target=_blank style='color:#2F92EE;'>#荟萃#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87229, encryptionId=366b8e2299e, topicName=荟萃)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=c12d27855367, createdName=venlin, createdTime=Sun Aug 01 14:55:43 CST 2021, time=2021-08-01, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1836953, encodeId=2a37183695310, content=<a href='/topic/show?id=1f188e230c5' target=_blank style='color:#2F92EE;'>#荟萃分析#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=33, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=87230, encryptionId=1f188e230c5, topicName=荟萃分析)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=b79433, 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encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Fri Nov 20 22:55:43 CST 2020, time=2020-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=896532, encodeId=6179896532cb, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Nov 03 10:43:03 CST 2020, time=2020-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415702, encodeId=fe321415e02f7, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519610, encodeId=9ca91519610e7, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1579515, encodeId=1f5115e9515c0, content=<a href='/topic/show?id=3afd942e905' target=_blank style='color:#2F92EE;'>#近端#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94279, encryptionId=3afd942e905, topicName=近端)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=da2116536440, createdName=hittouch, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895656, encodeId=5aed895656d4, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Fri Oct 30 16:06:35 CST 2020, time=2020-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895646, encodeId=c3da895646e6, content=加油,很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=33ee5216569, createdName=1476f000m96暂无昵称, createdTime=Fri Oct 30 15:28:05 CST 2020, time=2020-10-30, status=1, ipAttribution=)]
    2020-10-30 咻凡

    近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。

    0

  10. 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createdName=fangcong, createdTime=Wed Jul 14 17:55:43 CST 2021, time=2021-07-14, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1743997, encodeId=af541e439976c, content=<a href='/topic/show?id=13c85e1104f' target=_blank style='color:#2F92EE;'>#支架治疗#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=57110, encryptionId=13c85e1104f, topicName=支架治疗)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a63635244111, createdName=jeanqiuqiu, createdTime=Tue Dec 22 11:55:43 CST 2020, time=2020-12-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1939113, encodeId=99d61939113d8, content=<a href='/topic/show?id=1c292818fd' target=_blank style='color:#2F92EE;'>#ASC#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=35, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=2818, encryptionId=1c292818fd, topicName=ASC)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=74808, createdName=quxin068, createdTime=Fri Nov 20 22:55:43 CST 2020, time=2020-11-20, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=896532, encodeId=6179896532cb, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=69, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae205385871, createdName=Lexi, createdTime=Tue Nov 03 10:43:03 CST 2020, time=2020-11-03, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1415702, encodeId=fe321415e02f7, content=<a href='/topic/show?id=04812314540' target=_blank style='color:#2F92EE;'>#主动脉#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=32, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=23145, encryptionId=04812314540, topicName=主动脉)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=77603112682, createdName=circumcision, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1519610, encodeId=9ca91519610e7, content=<a href='/topic/show?id=b63a3323558' target=_blank style='color:#2F92EE;'>#动脉夹层#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33235, encryptionId=b63a3323558, topicName=动脉夹层)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=ae5711287462, createdName=mhzhuang@stu.e, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1579515, encodeId=1f5115e9515c0, content=<a href='/topic/show?id=3afd942e905' target=_blank style='color:#2F92EE;'>#近端#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=40, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=94279, encryptionId=3afd942e905, topicName=近端)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=da2116536440, createdName=hittouch, createdTime=Sat Oct 31 14:55:43 CST 2020, time=2020-10-31, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895656, encodeId=5aed895656d4, content=近端覆膜支架与远端辅助裸支架植入术联合应用有降低胸主动脉FL部分血栓化比率、SINE发生率和再干预率的潜力,但与降低主动脉相关死亡率和FL完全血栓化比率无关。, beContent=null, objectType=article, channel=null, level=null, likeNumber=80, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=b58d5402080, createdName=咻凡, createdTime=Fri Oct 30 16:06:35 CST 2020, time=2020-10-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=895646, encodeId=c3da895646e6, content=加油,很好, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=/v1.0.0/img/user_icon.png, createdBy=33ee5216569, createdName=1476f000m96暂无昵称, createdTime=Fri Oct 30 15:28:05 CST 2020, time=2020-10-30, status=1, ipAttribution=)]
    2020-10-30 1476f000m96暂无昵称

    加油,很好

    0

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