复杂性腹主动脉瘤腔内治疗:问题与对策  

Endovascular treatment of complex abdominal aortic aneurysms: Problems and countermeasures

作　　者：李怀波[1] 陈德基[1] 何明基[1] 练辉[1] 申刚[1] 

机构地区：[1]广州医学院第二附属医院介入放射科,广东广州510260

出　　处：《中国介入影像与治疗学》2013年第4期201-204,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨人工覆膜支架腔内修复术(EVAR)治疗复杂性腹主动脉瘤(AAA)的可行性与安全性。方法回顾性分析35例接受EVAR治疗的复杂性AAA的患者资料。结果 35例均接受EVAR治疗,2例失败(1例入路血管严重狭窄,支架不能释放,2天后死亡;1例术中瘤体破裂,手术中断,术后1天死亡),手术成功率为94.29%(33/35)。6例术前瘤体已破裂,术后死亡2例。结论对于复杂性AAA,通过改良技术进行腔内治疗,能够取得良好疗效。] Objective To explore the feasibility and safety of artificial stents in the endovascular aneurysm repair （EVAR） for the treatment of complex abdominal aortic aneurysm （AAA）. Methods A total of 35 patients with complex AAA who underwent EVAR were reviewed. Results All 35 patients were treated with EVAR. The procedure failed in 2 cases, because the vascular access was too stenosis to release the stent in 1 patient who died 2 days later, and the other one died 1 day after operation since the rupture of aneurysm during procedure. The success rate of EVAR was 94.29% （33/ 35）. In 6 patients with ruptured AAA before operation, 2 died after operation. Conclusion Complex AAA can be treated with improved endovascular technologies.

关 键 词：动脉瘤 腔内治疗 支架 内瘘 

分 类 号：R654.3[医药卫生—外科学]