中国医疗设备2017，Vol.32Issue(10)：55-58,4.DOI:10.3969/j.issn.1674-1633.2017.10.014
CTA判断主动脉瘤管腔内修复术术后内漏
Application of Computed Tomography Angiography in the Identification of Endoleaks after Endovascular Aortic Aneurysm Repair
郭红梅 1姚亮 1高俊杰 1何成平 1王振祥 1杨立2
作者信息
- 1. 新疆巴音郭楞蒙古自治州人民医院 CT、MRI科,新疆 库尔勒 841000
- 2. 解放军总医院 放射诊断科,北京 100853
- 折叠
摘要
Abstract
Objective To investigate the application of computed tomography angiography (CTA) in the identification of endoleaks after endovascular aortic aneurysm repair. Methods We retrospectively analyzed the clinical data of patients with aortic aneurysm who underwent endovascular repair (EVAR) and CTA reexamination in the follow-up duration. The occurrence of endoleak after stent implantation as well as the change of aneurysm, and its complication relative to the stent-graft segments were observed. Results Fifty two patients with mean age of (68.92±22.73) years old who underwent aortic aneurysm treated with EVAR were included. Of these patients, 15 cases (28.85％) were observed with 16 sites of endoleak on or nearby the stent-grafts. Among them, 1 case (1.9％) showed typeⅠb, 7 cases (13.46％) showed typeⅡ and 7 cases (13.46％) with 8 sites showed type Ⅲ. For the 15 patients with endoleaks, 8 cases were found bigger aneurysm than that before EVAR, so they were followed-up closely; 1 case showed aneurysm rupture on stent-graft segment and given-up of treatment; 1 case died with rupture of abdominal aneurysm after 2 months follow the chest EVAR; 3 cases complicated infection of aneurysm on the segment of stent-graft and one of them had to be amputated after removal of the stent-graft. Conclusion After EVAR surgery, patients with aortic aneurysm should be followed up by CTA, to identify the types of endoleaks of stent-grafts. Attention should be payed to the typeⅡand Ⅲ, as well as the infection and rupture of stent-grafts, which can result in serious consequences.关键词
计算机辅助断层扫描血管造影/主动脉瘤/管腔内修复术/并发症/内漏Key words
computed tomography angiography/aortic aneurysm/endovascular aortic aneurysm repair/complications/endoleaks分类
医药卫生引用本文复制引用
郭红梅,姚亮,高俊杰,何成平,王振祥,杨立..CTA判断主动脉瘤管腔内修复术术后内漏[J].中国医疗设备,2017,32(10):55-58,4.
