中国普通外科杂志2026，Vol.35Issue(1)：32-43,12.DOI:10.7659/j.issn.1005-6947.250679
腹主动脉瘤腔内修复术中纤维蛋白粘合剂瘤腔填充技术专家共识
Expert consensus on fibrin sealant aneurysm sac filling during endovascular abdominal aortic aneurysmal repair
摘要
Abstract
Abdominal aortic aneurysm is a potentially fatal vascular disease commonly encountered in the elderly population.Although endovascular aneurysm repair(EVAR)has become the preferred treatment modality,the incidence of postoperative endoleaks remains high(20%-40%),with more than 30%of cases requiring secondary interventions,thereby significantly compromising long-term outcomes.To standardize the application of fibrin sealant aneurysm sac filling during EVAR,the Vascular Surgery Professional Committee of the Chinese Association of Rehabilitation Medicine convened a multidisciplinary expert panel.In accordance with the RIGHT reporting guideline and the GRADE evidence grading system,and through two rounds of Delphi surveys to prioritize clinical questions combined with systematic evidence review,the committee developed the Expert consensus on fibrin sealant aneurysm sac filling during endovascular abdominal aortic aneurysmal repair.This consensus systematically addresses key aspects including indications and contraindications,technical procedures,dosage estimation,intraoperative assessment criteria,prevention and management of complications,and postoperative follow-up.It defines criteria for complete sac filling and provides tailored application strategies under various anatomical conditions.The aim of this consensus is to standardize clinical practice,reduce the incidence of endoleaks,improve long-term outcomes after EVAR,and provide vascular surgeons with evidence-informed and practically applicable guidance.关键词
动脉瘤腔内修复术/主动脉,腹/纤维蛋白粘合剂/瘤腔填充Key words
Endovascular Aneurysm Repair/Aorta,Abdominal/Fibrin Sealant/Sac Filling分类
医药卫生引用本文复制引用
中国康复医学会血管外科专业委员会,陆清声..腹主动脉瘤腔内修复术中纤维蛋白粘合剂瘤腔填充技术专家共识[J].中国普通外科杂志,2026,35(1):32-43,12.基金项目
上海市"科技创新行动计划"基金资助项目(21Y11909200) （21Y11909200）
上海市"科技创新行动计划"生物医药科技支撑专项(20S11901900) （20S11901900）
上海市医学专项基金资助项目(202240388) （202240388）
长海医院234学科攀峰计划基金资助项目(2020YXK050) （2020YXK050）
长海医院基础课题基金资助项目(2023PY10) （2023PY10）
长海医院临床新技术孵育基金资助项目(2024XB002) （2024XB002）
长海医院建设发展补助基金资助项目(2024LYA03). （2024LYA03）
