腹主动脉瘤腔内隔绝术后内漏的治疗  

THE TREATMENT OF ENDOLEAK AFTER ENDOVASCULAR GRAFT EXCLUSION FOR ABDOMINAL AORTIC ANEURYSMS

作　　者：刘绪舜[1] 景在平[1] 黄晟[1] 包俊敏[1] 赵志青[1] 冯翔[1] 赵珺[1] 冯睿[1] 陆清声[1] 

机构地区：[1]第二军医大学长海医院,上海200433

出　　处：《解放军医学杂志》2001年第9期654-656,共3页Medical Journal of Chinese People's Liberation Army

基　　金：军队杰出人才基金 (编号 98J0 0 5 );上海市卫生系统百人计划基金(编号 97BR0 47)资助课题

摘　　要：为探讨腹主动脉瘤 (AAA)腔内隔绝术 (EVGE)后内漏产生的原因和治疗方法 ,作者总结分析了 38例腔内隔绝术并发内漏的诊治体会。 38例腔内隔绝术中共 4例并发内漏 ,其中Ⅰ型内漏 2例 ,Ⅱ型内漏 1例 ,Ⅲ型内漏 1例 ;1例中转传统手术 ,其余 3例在观察中。DSA是术中发现内漏的有效手段 ,球囊扩张法、支架法。In order to have better understanding of the etiology and treatment of the endoleak after endovascular graft exclusion for abdominal aortic aneurysms, experiences with the treatment of endoleak in 38 cases received EVGE for AAAs were reviewed.Among them, 4 cases were complicated with endoleak. Type Ⅰ endoleak occurred in two cases, type Ⅱ in one case, and type Ⅲ in one case. One case was converted to open surgery, the other three cases were kept under observation. The results showed that DSA is a useful in the diagnosis of endoleak.The endoleak can be sealed by stretching the graft and inserting an extension or another stent graft and embolizing collateral vessel.

关 键 词：腹主动脉瘤 内漏 腔内隔绝术 手术后 EVGE AAA 

分 类 号：R543.16[医药卫生—心血管疾病]