覆膜支架腔内隔绝术治疗外周动脉瘤  

Endovascular covered stent-graft exclusion of peripheral aneurysms

作　　者：陈亮[1] 顾建平[1] 楼文胜[1] 何旭[1] 陈国平[1] 苏浩波[1] 宋进华[1] 汪涛[1] 徐克[2] 

机构地区：[1]南京医科大学附属南京第一医院介入科,210006 [2]中国医科大学附属第一医院放射科

出　　处：《介入放射学杂志》2012年第2期107-110,共4页Journal of Interventional Radiology

基　　金：国家"十一五"科技支撑计划(2007BA105B04)

摘　　要：目的探讨外周动脉瘤应用覆膜支架腔内隔绝术治疗的疗效和安全性。方法对12例外周动脉瘤(真性动脉瘤5例,假性动脉瘤7例)患者行经股动脉穿刺插管造影,之后于病变部位放置覆膜支架行腔内隔绝术。结果 12例成功进行外周动脉瘤覆膜支架腔内隔绝术,其中11例动脉瘤腔完全封闭隔绝,1例动脉瘤治疗后有内漏,无手术相关并发症,即刻造影示置入覆膜支架远端动脉均血流通畅。随访观察3～36个月,无动脉瘤复发及动脉瘤相关并发症发生,1例3个月后发生覆膜支架腔内闭塞。结论覆膜支架腔内隔绝术治疗外周动脉瘤是一种创伤小、安全易行、疗效确切的治疗方法。Objective To discuss the efficacy and safety of endovascular covered stent-graft exclusion for the management of peripheral aneurysms. Methods Twelve patients with peripheral aneurysms, including true aneurysms （n = 5） and pseudoaneurysms （n = 7） were enrolled in this study. By using Seldinger technique, catheterization via femoral artery was performed, which was followed by angiography to demonstrate the diseased site. The covered stent-graft was then implanted in the diseased site to complete the endovaseular exclusion. Results Endovascular covered stent-graft exclusion of peripheral aneurysms was successfully performed in all 12 cases. The aneurysm was completely isolated in 11 cases, and endoleak was observed in 1 case. No procedure-related adverse effect or severe complications occurred. Angiography performed immediately after the procedure showed that the artery distal to the stent-graft was well patent. All the patients were followed up for 3-36 months, no recurrent aneurysms or related complications were observed. In-stent occlusion was seen in 1 case 3 months after the procedure. Conclusion Endovascular covered stent-graft exclusion of peripheral aneurysms is a minimally-invasive, safe, simple and effective technique.

关 键 词：外周动脉瘤 覆膜支架 腔内隔绝术 

分 类 号：R543.5[医药卫生—心血管疾病]