| 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: |
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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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