文章摘要

一体式覆膜支架在腹主动脉腔内修复中的应用

作者: 1黄建华, 1王伟, 1欧阳洋, 1王宪伟, 1刘光强, 2李刚, 1蔡舟, 1吴科敏, 1杨璞
1 中南大学湘雅医院血管外科，湖南 长沙 410008
2 中南大学湘雅医院介入科，湖南 长沙 410008
通讯: 王伟 Email: wangweicsu@126.com
DOI: 10.3978/.10.3978/j.issn.1005-6947.2016.06.005
基金: 湖南省科学技术厅重点科研计划资助项目, 2015SK2017

摘要

目的：总结一体式覆膜支架在腹主动脉以及髂动脉病变中的应用效果。方法：回顾性分析应用一体式腹主动脉覆膜支架腔内修复腹主动脉瘤15例、髂动脉瘤5例及腹主动脉或髂动脉夹层5例的临床资料。结果：平均时间42.4 min，手术成功率100%（25/25）。术后无I、III型内漏，发生髂动脉血栓形成1例，围术期无死亡病例。随访3~16个月复查无动脉瘤复发和II型内漏。结论：一体式覆膜支架是腹主动脉瘤和夹层动脉瘤腔内治疗方法的一种较好选择，具有快速、简单、有效的优点；其远期疗效需进一步观察。
关键词： 动脉瘤 动脉瘤，夹层 血管内操作 支架

Endovascular aneurysm repair with unibody bifurcated stent grafts

Authors: 1HUANG Jianhua, 1WANG Wei, 1OUYANG Yang, 1WANG Xianwei, 1LIU Guangqiang, 2LI Gang, 1CAI Zhou, 1WU Kemin, 1YANG Pu
1 Department of Vascular Surgery, Xiangya Hospital, Central South University, Changsha 410008, China
2 Department of Interventional Radiology, Xiangya Hospital, Central South University, Changsha 410008, China

CorrespondingAuthor:WANG Wei Email: wangweicsu@126.com

Abstract

Objective: To evaluate the efficacy of using unibody bifurcated stent grafts in endovascular aneurysm repair. Methods: The clinical data of 15 patients with abdominal aortic aneurysm, 5 patients with iliac aortic aneurysm and 5 patients with abdominal aortic or iliac aortic dissection undergoing endovascular aneurysm repair with unibody bifurcated stent grafts (Shanghai MicroPort Medical Co., Ltd.) were retrospectively analysed. Results: The surgical success rate was 100% (25/25) with an overage operative time of 42.4 min. No type I or type III endoleak occurred, iliac thrombosis occurred in one case after operation and on death occurred during perioperative period. Follow-up was conducted for 3 to 16 months and no type II endoleak was noted during review visits. Conclusion: Endovascular aneurysm repair using unibody bifurcated stent graft is a preferable choice of the treatment options for abdominal aortic aneurysm or dissecting aneurysm. However, the long term results still need to be verified.
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