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假性腹主动脉瘤网格内支架植入的实验研究 被引量:6

Experimental study on transluminal implantation of mesh stent for the treatment of pseudoaneurysm of abdominal aorta
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摘要 目的:研究镍钛合金网格内支架修复实验性腹主动脉后壁漏口和重建血管的可行性。材料与方法:5条犬在麻醉后,经股动脉用Brockenbrough穿刺针和8F扩张器制成直径2.7mm的腹主动脉后壁漏口。经8F导管鞘将10mm×60mm的镍钛合金密集网格内支架跨漏口植入。结果:5条犬的假性主动脉瘤模型建立均获成功。4条犬的内支架植入位置准确,造影显示漏口闭合、主动脉狭窄改善;3条犬平均于2个月进行了造影随访,均显示腹主动脉及其分支正常。结论:镍钛合金网格内支架能修复实验性腹主动脉后壁漏口和重建主动脉。 Purpose: To explore the feasibility of the mesh stent in treatment of the pathologic leak of abdominal aorta. Materials and methods: The model of posterior wall leak of abdominal aorta was established with modified Brockenbrough needle and 8F dilator catheter via femoral arteries in 5 dogs under anesthesia. The leak was repaired with self made nitinol mesh stents (10 mm in diameter and 60mm in length) delivered by 8F catheter sheaths.Results: The stents were placed across the leak in 4 dogs. Immediate aortogram displayed that the leak was closed and the stenosed aorta was recanalized. Another stent was placed uncovered the leak, and the leak was not closed on aortagram. The follow up aortagram undergone 1, 2, 3 months respectively displayed the normal aorta and its branchs. Conclusion: The preliminary result shows that the mesh stent is feasibility in reparation of the experimental leaks of abdominal aorta and recanalization of vesseles in dogs.
出处 《中华放射学杂志》 CAS CSCD 北大核心 1997年第5期331-333,共3页 Chinese Journal of Radiology
关键词 内支架植入 主动脉瘤 腹主动脉 Stent Animals, laboratory Aneurysm, aorta Aorta, abdominal
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  • 1吴德全,李传乐,张新宇,胡占良,孙士波,韩德恩,杨维良.肝外恶性梗阻性黄疸手术切除率分析[J].中华肝胆外科杂志,2004,10(2):124-125. 被引量:7
  • 2徐克,金春元,张汉国,王鹤令,韩铭钧,赵钟春,张曦彤,王长龙.胆道内支架引流术治疗梗阻性黄疸(附12例报告)[J].中华放射学杂志,1994,28(5):295-298. 被引量:43
  • 3李常茂,袁曙光,闫东,孙勇,范承经,韩正林,普成荣.恶性胆道梗阻的双介入治疗[J].临床医学影像杂志,1996,7(2):79-81. 被引量:5
  • 4Lammer J, Hausegger KA, Fluckiger F, et al. Common dile duct obstruction due to malignancy: treatment with plastic versus metal stents. Radiology, 1996, 201 : 167.
  • 5Schmassmann A, von-Gunten E, Knvchet J, et al. Wallstents versus plastic stents in malignant biliary obstruction: effects of stent patency of the first and second stent on patient compliance and survival. Am-J-Gastroenterol, 1996, 91:654.
  • 6Wanger HJ, Knyrim K, Vakil N, et al. Plastic endoprosthese versus metal stents in the palliative treatment of malignant hilar biliary obstruction. A prospective and randomized trial. Endoscopy, 1993, 25:213.
  • 7Davids PH, Groen AK, Rauws EA, et al. Pandomised trial of selfexpanding stents versus polyethylene stents for distal malignant biliary obstruction. Lancet, 1992, 340:488.
  • 8Reiber A, Brambs HJ. Metallic stentin maglinant biliary obstruction. Cardiovasc Intervent Radio, 1997, 20:43.
  • 9Yeoh KG, Zimmerman MJ, Cumningham-JT, et al. Comparative costs of metal versus plastic diliary stent strategies for malignant obstructive jaundice by decision analysis. 1999, 49:466.
  • 10朱建钢,姜卫剑,李选,罗德馨.尿道内支架置入术初步实验研究[J].中华放射学杂志,1997,31(5):334-336. 被引量:1

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