李怀波,陈德基,何明基,练辉,申刚.复杂性腹主动脉瘤腔内治疗:问题与对策[J].中国介入影像与治疗学,2013,10(4):201-204
复杂性腹主动脉瘤腔内治疗:问题与对策
Endovascular treatment of complex abdominal aortic aneurysms: Problems and countermeasures
投稿时间:2012-12-20  修订日期:2013-02-28
DOI:
中文关键词:  动脉瘤  腔内治疗  支架  内瘘
英文关键词:Aneurysm  Endovascular treatment  Stents  Endoleak
基金项目:
作者单位E-mail
李怀波 广州医学院第二附属医院介入放射科,广东 广州 510260  
陈德基 广州医学院第二附属医院介入放射科,广东 广州 510260 chendeji2003@yahoo.com.cn 
何明基 广州医学院第二附属医院介入放射科,广东 广州 510260  
练辉 广州医学院第二附属医院介入放射科,广东 广州 510260  
申刚 广州医学院第二附属医院介入放射科,广东 广州 510260  
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中文摘要:
      目的 探讨人工覆膜支架腔内修复术(EVAR)治疗复杂性腹主动脉瘤(AAA)的可行性与安全性。 方法 回顾性分析35例接受EVAR治疗的复杂性AAA的患者资料。 结果 35例均接受EVAR治疗,2例失败(1例入路血管严重狭窄,支架不能释放,2天后死亡;1例术中瘤体破裂,手术中断,术后1天死亡),手术成功率为94.29%(33/35)。6例术前瘤体已破裂,术后死亡2例。 结论 对于复杂性AAA,通过改良技术进行腔内治疗,能够取得良好疗效。
英文摘要:
      Objective To explore the feasibility and safety of artificial stents in the endovascular aneurysm repair (EVAR) for the treatment of complex abdominal aortic aneurysm (AAA). Methods A total of 35 patients with complex AAA who underwent EVAR were reviewed. Results All 35 patients were treated with EVAR. The procedure failed in 2 cases, because the vascular access was too stenosis to release the stent in 1 patient who died 2 days later, and the other one died 1 day after operation since the rupture of aneurysm during procedure. The success rate of EVAR was 94.29% (33/35). In 6 patients with ruptured AAA before operation, 2 died after operation. Conclusion Complex AAA can be treated with improved endovascular technologies.
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