主髂动脉分叉部覆膜支架重建(CERAB)技术治疗主髂分叉病变的要点与解析  

Analysis of covered endovascular reconstruction of aortic bifurcation technique for aortoiliac disease

作　　者：祁渝涵 翁诚馨 黄斌[1] 王铁皓 杜晓炯[1] 赵纪春[1] 袁丁[1] QI Yuhan;WENG Chengxin;HUANG Bin;WANG Tiehao;DU Xiaojiong;ZHAO Jichun;YUAN Ding(Department of Vascular Surgery,West China Hospital,Sichuan University,Chengdu 610041,P.R.China)

机构地区：[1]四川大学华西医院血管外科,成都610041

出　　处：《中国普外基础与临床杂志》2022年第7期852-856,共5页Chinese Journal of Bases and Clinics In General Surgery

基　　金：四川大学华西医院临床新技术(项目编号:医临新2020-253号)。

摘　　要：目的解析主髂动脉分叉部覆膜支架重建(covered endovascular reconstruction of aortic bifurcation,CERAB)技术治疗复杂主髂动脉病变的要点与优势。方法对四川大学华西医院血管外科收治的1例双侧髂总动脉开口狭窄及腹主动脉下段钙化患者采用CERAB技术治疗后的资料进行总结,同时结合球扩覆膜支架的特性解析该技术。结果该病例通过CERAB技术治疗成功,双侧髂动脉支架的形态和支架贴壁均良好,腹主动脉及双侧髂内外动脉均显影良好。结论从本病例分析结果看,CERAB技术治疗主髂动脉分叉处病变有效,可行性强,主髂动脉分叉部形态恢复良好,球扩覆膜支架是该技术成功实施的关键点。Objective To analyze the main points and advantages of covered endovascular reconstruction of aortic bifurcation(CERAB)technique in the treatment of complex aortic and iliac artery lesions.Method The data of the patient with bilateral common iliac artery stenosis and lower abdominal aortic calcification treated by CERAB technology in the Department of Vascular Surgery of West China Hospital of Sichuan University and the technology in combination with the characteristics of balloon-expandable covered stent were analyzed.Results The lesions were successfully treated by CERAB technique.The stents of bilateral iliac arteries were in perfect shape and good adherence.The radiography of the abdominal aorta and bilateral internal and external iliac arteries were well displayed.Conclusions From analysis results of this case,CERAB technology is effective and feasible in treatment of lesions at the bifurcation of the main aortic and iliac artery.The shape of aortic bifurcation is satisfactorily recovered.The key point for the successful implementation of this technology is balloon-expandable covered stent.

关 键 词：腹主动脉分叉 主髂动脉 腔内治疗 CERAB 球扩覆膜支架 

分 类 号：R654.3[医药卫生—外科学]