胸主动脉覆膜支架联合八爪鱼技术腔内修复复杂胸腹主动脉瘤  

Endovascular repair of thoracoabdominal aortic aneurysm by using implantation of covered stent combined with octopus technology

作　　者：谷涌泉[1] 郭连瑞[1] 郭建明[1] 崔世军[1] 齐一侠[1] 佟铸[1] 张建[1] 汪忠镐[1] 

机构地区：[1]首都医科大学宣武医院血管外科、首都医科大学血管外科研究所,北京100053

出　　处：《介入放射学杂志》2016年第6期487-490,共4页Journal of Interventional Radiology

基　　金：北京市科技计划项目(Z141107002514063);北京市医院管理局“登峰”人才计划(DFL20150801)

摘　　要：目的分析胸主动脉覆膜支架联合八爪鱼技术治疗复杂胸腹主动脉瘤的安全性和可行性。方法采用胸主动脉覆膜支架联合八爪鱼技术完全腔内手术治疗1例47岁复杂胸腹主动脉瘤患者。手术在隔绝胸腹主动脉瘤的同时,成功重建双侧肾动脉和肠系膜上动脉血供。结果术后CTA复查提示双侧肾动脉、肠系膜上动脉血流通畅,动脉瘤无内漏。术后患者未出现截瘫、肠缺血并发症,恢复顺利。结论该技术治疗复杂胸腹主动脉瘤安全可行,尚需更多治疗例数和远期随访结果观察。Objective To discuss the safety and feasibility of covered stent implantation combined with octopus technology in treating thoracoabdominal aortic aneurysm. Methods Endovascular repair of thoracoabdominal aortic aneurysm by using implantation of covered stent combined with octopus technology was successfully accomplished in a 47 year-old male patient with complex thoracoabdominal aortic aneurysm. The thoracoabdominal aortic aneurysm was completely isolated, at the sametime the blood supply of bilateral renal arteries and superior mesenteric artery was successfully reconstructed. Results Postoperative CT angiography reexamination revealed that the blood flow in bilateral renal arteries and superior mesenteric artery was unobstructed, and no internal leakage of aneurysm was detected. After the treatment, no complications such as paraplegia or intestinal ischemia occurred. The patient recovered smoothly. Conclusion For the treatment of complex thoracoabdominal aortic aneurysm, implantation of covered stent combined with octopus technology is safe and feasible, but more clinical studies and long-term follow-up observation are needed before its effectiveness can be convincingly verified.

关 键 词：覆膜支架 八爪鱼技术 腔内修复 胸腹主动脉瘤 

分 类 号：R654.3[医药卫生—外科学]