腹主动脉瘤腔内修复术后并发症相关危险因素研究进展  

Research progress on risk factors associated with postoperative complications of endovascular repair for abdominal aortic aneurysms

作　　者：王玉竹 张帅 周雨 金怡 赵子赫 潘朝晖 付东升 韩月雪 胡健航 热亚古丽·柯尤木 刘昭[1] 李晓强 WANG Yuzhu;ZHANG Shuai;ZHOU Yu;JIN Yi;ZHAO Zihe;PAN Chaohui;FU Dongsheng;HAN Yuexue;HU Jianhang;REYAGULI·Keyoumu;LIU Zhao;LI Xiaoqiang(Department of Vascular Surgery,Affiliated Drum Tower Hospital,Medical School of Nanjing University,Nanjing 210008,China)

机构地区：[1]南京大学医学院附属鼓楼医院血管外科,江苏南京210008

出　　处：《中国普通外科杂志》2024年第12期2077-2082,共6页China Journal of General Surgery

摘　　要：腹主动脉瘤腔内修复术(EVAR)因手术时间短、术后恢复快、术后早期病死率低等优势,已经成为腹主动脉瘤重要的治疗方法,但其并发症发生率和术后再干预率均高于开放手术。EVAR术后并发症主要包括入路血管损伤、植入后综合征、支架移位、内漏、内脏分支动脉闭塞及下肢缺血和支架感染,这些也是造成再干预的主要原因。近年来,有关EVAR各术后并发症产生的原因和相关危险因素引起广泛关注和讨论,对临床医生完善手术方式和术后监测,改善患者预后意义重大。笔者就目前EVAR后的并发症、相关危险因素及处理方式作一综述。Endovascular Aneurysm Repair(EVAR)has become an important treatment method for abdominal aortic aneurysms due to its advantages of shorter operative time,faster postoperative recovery,and lower early postoperative mortality.However,the incidence of complications and the postoperative reintervention rates are higher than those of open surgery.The main complications after EVAR include access vessel injury,post-implantation syndrome,stent migration,endoleaks,visceral branch artery occlusion,lower limb ischemia,and stent infection,which are also the primary causes of reintervention.In recent years,the causes and associated risk factors of various postoperative complications of EVAR have attracted widespread attention and discussion,which are of great significance for improving surgical techniques,enhancing postoperative monitoring,and improving patient outcomes.This paper provides a review of the current complications,associated risk factors,and management strategies after EVAR.

关 键 词：主动脉瘤 腹 血管内操作 手术后并发症 危险因素 综述 

分 类 号：R654.3[医药卫生—外科学]