带膜支架腔内隔绝术治疗腹主动脉瘤及主动脉夹层动脉瘤24例疗效分析
带膜,,腹主动脉瘤；,主动脉夹层动脉瘤；,带膜支架；,腔内隔绝术,1资料与方法,2结果,3讨论,参考文献:
摘要: 目的: 评价经导管带膜支架腔内隔绝术治疗腹主动脉瘤及主动脉夹层动脉瘤的临床疗效。方法: 应用带膜支架治疗Ⅲ型腹主动脉夹层动脉瘤20例及腹主动脉瘤4例。20例主动脉夹层动脉瘤应用带膜支架行近侧内膜破口封堵,4例腹主动脉瘤选用分叉延伸型支架。结果: 所有患者带膜支架释放均获得成功。1例主动脉夹层动脉瘤患者术后第3天因急性肾功能衰竭死亡。结论: 主动脉夹层动脉瘤和腹主动脉瘤带膜支架腔内隔绝术是一项新的微创、安全的治疗手段。关键词： 腹主动脉瘤； 主动脉夹层动脉瘤； 带膜支架； 腔内隔绝术
Evaluation of endovascular treatment of aortic dissection and abdominal aortic aneurysm using stentgraft
Sailike, Reyihanguli, LUO Jun, et al
(Department of General Surgery, First Affiliated Hospital, Xinjiang Medical University, Urumqi 830054, China)
Abstract: Objective: To evaluate our preliminary experience of endovascular treatment of aortic dissection and abdominal aortic aneurysm with stentgraft. Methods: Twenty cases with type Ⅲ aortic dissection and four with abdominal aortic aneurysm were treated by using endovascular stentgraft. Thoracic stentgraft were applied to the seal of proximal intimal rupture in 20 cases and four bifurcate stentgrafts in two aortic aneurysm. Results: Achieved success in all cases .One perioperative deaths occurred due to renal failure after three days. Conclusion: In treatment of aortie dissection and aneurysm, endovascular exclusion is prior to traditional operation. It is a new treatment of microinvasive ande safe. ......
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