Guo W, Zhang G, Liang F, Gai L, Chen L, Du L, Kong Q, Liu X
Department of General Surgery, General Hospital, People's Liberation Army, Beijing 100853, China.
Zhonghua Wai Ke Za Zhi. 2000 Mar;38(3):179-81, 10.
To study the clinical value of the treatment of aortic aneurysms with endovascular stent-graft prosthesis.
After a unilateral surgical arteriotomy, Talent, Vanguard and Chinese stent-graft were advanced through the femoral arteries and placed in the proper position of the aneurysm sac under X-ray fluoroscopic guidance.
Four patients with descending aneurysm, 1 patient with abdominal aortic aneurysm (AAA) involving the renal artery, superior mesenteric artery and celiac artery, and 1 patient with right common iliac artery aneurysm received straight stent-grafts. Five patients with infrarenal AAA received bifurcated stent-grafts. CT and MRA were performed during a follow-up of 3 - 19 months. Aortic aneurysms were completely excluded from the circulation. Five patients prolonged fever was noted and 1 patient was found to have a leakage 3 months later, and hemiplegia in 1 after procedure.
Endovascular treatment of aortic aneurysm is technically feasible and can effectively exclude aortic aneurysms from the circulation. Endoluminal repair may serve as an interventional strategy to treat aneurysm, especially in patients at high surgical risk, but long term effect needs further study.
探讨血管腔内带膜支架修复术治疗主动脉瘤的临床价值。
经单侧股动脉切开，在X线透视引导下将Talent、Vanguard及国产带膜支架分别经股动脉送入降主动脉瘤、腹主动脉瘤（累及肾动脉、肠系膜上动脉及腹腔动脉）及右髂总动脉瘤腔内并释放于合适位置。
4例降主动脉瘤、1例累及肾动脉、肠系膜上动脉及腹腔动脉的腹主动脉瘤和1例右髂总动脉瘤患者置入直型带膜支架；5例肾动脉下腹主动脉瘤患者置入分叉型带膜支架。术后3～19个月行CT及MRA检查，动脉瘤均完全隔绝于血循环之外。5例患者术后有持续发热，1例术后3个月发现内漏，1例术后出现偏瘫。
血管腔内修复术治疗主动脉瘤技术上可行，能有效隔绝动脉瘤血循环，可作为高危患者的介入治疗手段，但远期疗效有待进一步观察。
Zotero 插件