Endurant支架血管植入治疗腹主动脉瘤的疗效观察
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摘要
目的观察Endurant支架血管植入治疗腹主动脉瘤的临床效果。方法回顾性分析46例肾下腹主动脉瘤患者临床资料,均行Endurant支架血管植入治疗。观察Endurant支架血管植入的治疗效果(技术成功率、临床成功率),记录患者术后不良事件发生率和二次手术干预率。结果 46例患者腔内修复术技术成功率为100%(46/46),临床成功率为97. 83%(45/46)。9例(19. 57%)患者出现Ⅱ型内漏,未出现Ⅰ型、Ⅲ型及Ⅳ型内漏,无支架移位、扭转、打折及支架内血栓形成等并发症发生。术后随访(21. 4±7. 6)个月,均未发生动脉瘤相关性死亡、支架移位、肾动脉狭窄或闭塞、腹主动脉瘤增大等并发症,二次手术干预率为0%。结论采用Endurant支架血管植入治疗腹主动脉瘤疗效确切,安全性高。
引文
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[17]王永刚,史振宇,符伟国,等. Endurant支架治疗短瘤颈腹主动脉瘤临床疗效分析[J].中华外科杂志,2017,55(6):451-454.
[18]黄圣明,王明科,郑春玲,等.血管内支架植入术治疗症状性颅内动脉狭窄的临床研究[J].中风与神经疾病,2016,33(12):1 126-1 127.
[2]李昕禾,赵全明.关于目前影像学技术在腹主动脉瘤风险评估方面的研究进展[J].中国循证心血管医学杂志,2017,9(1):111-113.
[3]骆曦图,刘正军,杨澄宇.开腹手术与腹主动脉瘤腔内修复术治疗腹主动脉瘤的远期疗效比较[J].现代中西医结合杂志,2016,25(25):2 754-2 757.
[4]陈洪胜,郭媛媛,彭飞,等.腹主动脉瘤腔内修复术后髂支支架内闭塞的危险因素分析[J].中国普通外科杂志,2016,25(6):828-832.
[5] Cerini P,Guzzardi G,Divenuto I,et al. Are abdominal aortic aneurysms with hostile neck really unsuitable for EVAR?Our experience[J]. Radiol Med,2016,121(6):528-535.
[6] Murray D,Ghosh J,Khwaja N,et al. Access for endovascular aneurysm repair[J]. J Endovasc Ther,2006,13(11):754-761.
[7]池振庆,苗自玲,吴小鹏.腔内修复术治疗肾下型腹主动脉瘤的内漏防治:附43例报告[J].中国普通外科杂志,2013,22(12):1 548-1 552.
[8] Lee K,Hossain S,Sabalbal M,et al. Explaining endograft shortening during endovascular repair of abdominal aortic aneurysms in severe aortoiliac tortuosity[J]. J Vasc Surg,2017,65(5):1 297-1 304.
[9] Pecoraro F,Pakeliani D,Dinoto E,et al. Endovascular treatment of large and wide aortic neck:case report and literature review[J]. Gen Thorac Cardiovasc Surg,2017,65(4):219-224.
[10] Kansal V,Nagpal S,Jetty P. Editor's choice-late open surgical conversion after endovascular abdominal aortic aneurysm repair[J]. Eur J Vasc Endovasc Surg,2018,55(2):163-169.
[11] Schermerhorn ML,Buck DB,O'malley AJ,et al. Long-Term outcomes of abdominal aortic aneurysm in the medicare population[J]. N Engl J Med,2015,373(4):328-338.
[12]王深明,崔进.我国腹主动脉瘤的治疗现状[J].中国普外基础与临床杂志,2017,5(1):1-3.
[13] Folsom AR,Yao L,Alonso A,et al. Circulating biomarkers and abdominal aortic aneurysm incidence the atherosclerosis risk in communities(ARIC)study[J]. Circulation,2015,132(7):578-585.
[14] Ng NZP,Chong TT. Endovascular aneurysm repair(EVAR)of an infrarenal abdominal aortic aneurysm(AAA)in a young patient with systemic lupus erythematosus(SLE)[J]. EJVES Short Rep,2017,37(2):8-11.
[15] Singh MJ,Fairman R,Anain P,et al. Final results of the Endurant Stent Graft System in the United States regulatory trial[J]. J Vasc Surg,2016,64(1):55-62.
[16] Okamoto M,Tanaka M,Okamoto K,et al. A case of bilateral limb trouble after endovascular repair of abdominal aortic aneurysm with endurantstent graft system[J]. J Vasc Surg,2015,24(13):26-30.
[17]王永刚,史振宇,符伟国,等. Endurant支架治疗短瘤颈腹主动脉瘤临床疗效分析[J].中华外科杂志,2017,55(6):451-454.
[18]黄圣明,王明科,郑春玲,等.血管内支架植入术治疗症状性颅内动脉狭窄的临床研究[J].中风与神经疾病,2016,33(12):1 126-1 127.