van Sambeek M R, Gussenhoven E J, van der Lugt A, Honkoop J, du Bois N A, van Urk H
Department of Vascular Surgery, University Hospital Rotterdam-Dijkzigt, Erasmus University Rotterdam, The Netherlands.
Ann Vasc Surg. 1999 May;13(3):247-53. doi: 10.1007/s100169900253.
Our objective was to investigate the preliminary use of endovascular stent-grafts for the treatment of femoropopliteal artery aneurysm. Ten patients with an aneurysm of the femoropopliteal artery referred for endovascular treatment were investigated. The series consisted of patients with a true aneurysm of the superficial femoral artery (n = 2); a true aneurysm of the popliteal artery (n = 4); an aneurysmal dilatation of a Biograft bypass (n = 2); a false aneurysm of the superficial femoral aneurysm (n = 1); and a false aneurysm of a composite bypass (n = 1). In 8 of the 10 patients the stent-graft was composed of one or more Palmaz stents sutured to an ePTFE tube graft; in the other 2 patients a venous covering was used in combination with Palmaz stents. The procedure was guided by angiography and intravascular ultrasound. The results of our investigation showed that endovascular stent-grafting of aneurysms of the femoropopliteal artery is a feasible but experimental technique that should be restricted to a selected group of patients.
我们的目的是研究血管内支架型人工血管在股腘动脉动脉瘤治疗中的初步应用。对10例因血管内治疗而转诊的股腘动脉动脉瘤患者进行了研究。该系列包括股浅动脉真性动脉瘤患者（n = 2）；腘动脉真性动脉瘤患者（n = 4）；生物移植旁路血管瘤样扩张患者（n = 2）；股浅动脉假性动脉瘤患者（n = 1）；复合旁路血管假性动脉瘤患者（n = 1）。10例患者中有8例的支架型人工血管由一个或多个缝合在ePTFE人工血管上的Palmaz支架组成；另外2例患者使用静脉覆盖物与Palmaz支架联合使用。该手术由血管造影和血管内超声引导。我们的研究结果表明，股腘动脉动脉瘤的血管内支架植入术是一种可行但仍处于试验阶段的技术，应仅限于特定的患者群体。
