胸腹主动脉瘤内脏动脉分支重建专家共识  

Expert consensus on reconstruction of visceral arterial branches in thoracoabdominal aortic aneurysm

作　　者：无 郑月宏[2] 薛冠华[3] 梁刚柱 张韬[5] 张杨[6] 无;Zheng Yuehong;Xue Guanhua(Peripheral Vascular Disease Committee of Chinese Society of Microcirculation)

机构地区：[1]中国微循环学会周围血管疾病专业委员会 [2]中国医学科学院北京协和医院 [3]上海交通大学医学院附属仁济医院 [4]澳门仁伯爵综合医院,中国 [5]北京大学人民医院 [6]首都医科大学附属北京朝阳医院

出　　处：《血管与腔内血管外科杂志》2023年第4期385-394,共10页Journal of Vascular and Endovascular Surgery

基　　金：中央高水平医院临床科研专项(2022-PUMCH-C-062);国家自然科学基金(82070492)。

摘　　要：胸腹主动脉瘤(TAAA)累及重要内脏动脉分支的患者病变复杂,腔外或腔内的修复术是其主要治疗方式,随着技术的不断更新迭代,两种治疗方式的适应证不断拓宽,但目前相应的技术及材料仍未普及,复杂TAAA的内脏重建术式在各个中心仍较局限,存在决策灰区。本共识由国内多位具有丰富TAAA治疗经验的专家在充分总结临床经验和系统回顾分析国内外相关文献的基础上,对TAAA内脏动脉分支重建技术经过多次交流、探讨后总结而成。共识系统阐述了开放手术修复(OSR)、腔内及杂交手术修复TAAA、术后并发症的预防及治疗,就涉及内脏动脉分支重建的复杂TAAA的治疗方式做出推荐,以制定促进TAAA修复的同时重建内脏动脉血运的最佳决策。Patients with complex thoracoabdominal aortic aneurysm(TAAA)involving important visceral arterial branches often have complicated conditions,and extraluminal or endoluminal repair is the main treatment method,with the continuous update of technology,the indications of the two treatment methods expand continuously.However,the appropriate techniques and materials are still not widely available,the complexity of visceral reconstruction of TAAA is still limited in each center,and there are grey areas for decision making.This consensus is the result of a number of discussions on the technique of visceral arterial branch reconstruction in TAAA by experts with extensive experience in the treatment of TAAA in China,based on thorough summary of clinical trial experience,systematic review and analysis of the relevant domestic and international literature.The consensus systematically discusses the prevention and treatment of post-operative complications of open surgery repair(OSR),endovascular and hybrid surgery for TAAA repair,and makes recommendations on the treatment of complex TAAA involving the reconstruction of visceral arterial branches,in order to facilitate the formulation of optimal decisions for the reconstruction of visceral arterial blood flow while repairing TAAA.

关 键 词：主动脉瘤 内脏动脉分支重建 专家共识 

分 类 号：R543[医药卫生—心血管疾病]