摘要
目的探讨腹主动脉瘤腔内支架治疗的适应症,围手术期细节及并发症防治.方法回顾2005年7月至2007年12月13例患者采用经双侧股动脉植入覆膜支架,对腹主动脉瘤进行腔内隔绝术治疗.结果13例手术均获成功,其中2例术后出现单侧下肢缺血;随访3～24月,13例均生存良好,未发生支架移位、内漏及肾功能衰竭等严重并发症.结论腔内支架治疗腹主动脉瘤具有微创、并发症少、术后恢复快等优点,是高龄及高危腹主动脉瘤患者治疗的理想选择.
Objective To investigate the indications, the procedures and the management of perioperative complications in treatment of abdominal aortic aneurysms by using endovascular stent repair. Methods From July 2005-December 2007, endovascular stent repair of Abdominal Aortic Aneurysm （AAA） was successfully performed in 13 patients. Results The operation of 13 cases were successfully performed. Lower extremity ischemia had happened after operation in 2 cases. Follow-up for 3 to 24 months, all cases survived, and survivals living well without stent-displace, endoleak and renal failure. Conclusion Endovascular Repair of Abdominal Aortic Aneurysm （EVAR） is minimally invasive, less complication and quick recovery after operation. Thus it becomes the ideal choice for the treatment of AAA.
出处
《昆明医学院学报》
2008年第2期141-144,共4页
Journal of Kunming Medical College
关键词
腹主动脉瘤
腔内治疗
支架
Abdominal aortic aneurysm
Endovascular repair
Stent
