中国临床医学2012，Vol.19Issue(4)：356-359,4.
分叉型一体式覆膜支架腔内治疗肾下型腹主动脉瘤的疗效
Endovascular Repair of Infrarenal Abdominal Aortic Aneurysm with Unibody Bifurcated Stent-Grafts
史伟浩 1余波 1王巍1
作者信息
- 1. 复旦大学附属华山医院血管外科,上海200040
- 折叠
摘要
Abstract
Objective: To summary the clinical experience in applying unibody bifurcated stent-grafts for endovascular treatment of abdominal aortic aneurysm and iliac aneurysm. Methods: From February 2009 to March 2012, unibody bifurcated stent-grafts had been applied in the treatment of 20 patients suffering from infrarenal abdominal aortic aneurysm and iliac aneurysm. Their clinical data were analyzed. Results: A total of 100% success rate of stent implantation has been achieved without periop-erative deaths and any ischemic complications; postoperative endoleak occured in 8 cases(6 cases of type I endoleak, 2 cases of type Ⅲ endoleak) , and endoleak disappeared in all of them within one week; acute liver and kidney dysfunction occurred in one case and it was relieved after medical treatment for one week; groin incision lymphatic fistula occurred in two cases and was healed by dressing change. Patients have been followed up for an average period of 15 months. No endoleak and stent migration occurred. Conclusions: Applying unibody bifurcated stent-graft for endovascular treatment of abdominal aortic aneurysm is less invasive, more convenient in operation and shows high stability without the risk of long-term migration. Therefore, this method is especially suitable for abdominal aortic aneurysm with narrow abdominal aortic bifurcation.关键词
分叉型一体式覆膜支架/腹主动脉瘤/腔内修复Key words
Unibody bifurcated stent-grafts/ Abdominal aortic aneurysm/ Endovascular repair分类
医药卫生引用本文复制引用
史伟浩,余波,王巍..分叉型一体式覆膜支架腔内治疗肾下型腹主动脉瘤的疗效[J].中国临床医学,2012,19(4):356-359,4.
