应用G-iliac^(TM)髂动脉分支支架治疗髂总动脉瘤的临床应用分析  

Clinical application of G-iliac^(TM) iliac branch device in the treatment of common iliac artery aneurysm

作　　者：李文睿 冯海[1] 张志文[1] 刘彬[1] 于宏志[1] 高翔[1] 张喆[1] 陈学明[1] Li Wenrui;Feng Hai;Zhang Zhiwen;Liu Bin;Yu Hongzhi;Gao Xiang;Zhang Zhe;Chen Xueming(Department of Vascular Surgery,Beijing Friendship Hospital,Capital Medical University,Beijing 100050,China)

机构地区：[1]首都医科大学附属北京友谊医院血管外科,北京100050

出　　处：《国际外科学杂志》2023年第7期464-468,I0007,共6页International Journal of Surgery

摘　　要：目的分析应用G-iliac^(TM)髂动脉分支支架治疗髂总动脉瘤的安全性和有效性。方法回顾性分析2021年6月—2022年6月于首都医科大学附属北京友谊医院血管外科应用G-iliac^(TM)髂动脉分支支架治疗并保留髂内动脉(IIA)的7例髂总动脉瘤患者的临床资料, 分析手术效果及相关并发症发生情况。结果 7例患者均为男性, 年龄57~80岁, 平均70.9岁。腹主动脉瘤合并髂总动脉瘤6例, 单纯髂总动脉瘤1例, 均成功应用G-iliac^(TM)髂动脉分支支架保留IIA。术后1例患者出现心源性休克。7例患者随访时间为3~15个月, 平均8个月。随访期间, 髂动脉及IIA支架均通畅, 无髂动脉分支支架相关内漏发生, 无支架移位, 无臀肌跛行, 无性功能障碍症状, 无主动脉相关死亡。腹主动脉瘤最大径及髂总动脉瘤最大径均稳定。结论对于髂总动脉瘤患者, 通过G-iliac^(TM)髂动脉分支支架保留IIA是一种安全、有效的技术。其技术成功率和IIA通畅率高, 并发症发生率低, 但长期效果仍需更多的患者及更长时间的随访数据支持。Objective To analyze the safety and efficacy of G-iliac™iliac branch device(IBD)in the treatment of common iliac artery aneurysm.Methods The clinical data of 7 patients with common iliac artery aneurysm who were treated with G-iliac™IBD and internal iliac artery(IIA)preserved were retrospectively analyzed in the Department of Vascular Surgery,Beijing Friendship Hospital,Capital Medical University from June 2021 to June 2022,and the surgical effects and related complications were analyzed.Results All 7 patients were male,aged from 57 to 80 years,with an average age of 70.9 years.There were 6 cases of abdominal aortic aneurysm combined with common iliac artery aneurysm and 1 case of simple common iliac artery aneurysm,all of them were successfully applied with G-iliac™IBD to preserve IIA.Cardiogenic shock occurred in 1 patient after the operation.7 patients were followed up for 3-15 months,with an average of 8 months.During the follow-up period,the iliac artery and IIA stents were all patency,and there was no IBD-related endoleak,stent displacement,buttock claudication,sexual dysfunction,or aortic-related death.The diameter of abdominal aortic aneurysm and common iliac artery aneurysm were stable.Conclusion For patients with common iliac artery aneurysm,preservation of IIA with G-iliac™IBD is a safe and effective technique with a high technical success rate and IIA patency rate,and has a low complication rate,but the long-term effect still requires more data and longer follow-up data to support.

关 键 词：主动脉瘤 髂动脉瘤 支架 

分 类 号：R654.3[医药卫生—外科学]