腹主动脉瘤腔内治疗现状  

Current status of endovascular therapy for abdominal aortic aneurysm

作　　者：卫任[1] 郭伟[1] WEI Ren;GUO Wei(Department of Vascular Surgery,First Medical Center of Chinese PLA General Hospital,Beijing 100853,China)

机构地区：[1]解放军总医院第一医学中心血管外科,北京100853

出　　处：《山东大学学报（医学版）》2024年第9期13-18,共6页Journal of Shandong University:Health Sciences

摘　　要：腔内修复已成为腹主动脉瘤(abdominal aortic aneurysm, AAA)治疗的首选策略。近些年腔内技术迅猛发展,面对不同类型的AAA,涌现出以“开窗”“烟囱”、分支技术为代表的创新技术,而且基于这些技术也设计出了诸多成品化的新型支架。本文从技术、循证、指南三个角度对现阶段不同解剖类型的腹主动脉瘤腔内修复现状进行述评,并对备受关注的并发症问题进行阐述。Endovascular repair has become the preferred strategy for the treatment of abdominal aortic aneurysm(AAA).In recent years,endovascular technology has developed rapidly,and innovative techniques represented by"fenestration","chimney",and branch technology have emerged to address different types of AAA.Based on these techniques,many new types of off-the-shelf stents have also been designed.This article provides a review of the current status of endovascular repair for different anatomical types of AAA from the perspectives of technical aspects,evidence-based medicine,and clinical guidelines.It also addresses the highly concerning issue of complications.

关 键 词：腹主动脉瘤 主动脉腔内修复术 开窗技术 烟囱技术 分支技术 

分 类 号：R543.16[医药卫生—心血管疾病]