Faries Peter L, Morrissey Nicholas J, Teodorescu Victoria J, Hollier Larry H, Marin Michael L
Division of Vascular Surgery, New York-Presbyterian Hospital, Weill Cornell Medical School, 1300 York Avenue, New York, NY 10021, USA.
Mt Sinai J Med. 2003 Nov;70(6):420-6.
Minimally invasive endovascular techniques for the treatment of abdominal aortic aneurysm have significantly reduced its morbidity compared to that following standard surgical repair. Moreover, patients with extensive comorbid medical illnesses, for whom standard operative repair is contraindicated may be successfully treated using endovascular means. The full limitations and indications for use of endovascular grafts have not yet been fully defined. The effectiveness of commercially fabricated devices is currently being evaluated. This article describes the general principles of use for endovascular devices for the repair of abdominal aortic aneurysms and details the features of the devices currently in use, as well as the typical results.
与标准外科修复相比，用于治疗腹主动脉瘤的微创血管内技术已显著降低了其发病率。此外，对于存在广泛合并内科疾病、标准手术修复为禁忌的患者，可使用血管内方法成功进行治疗。血管内移植物使用的全部局限性和适应证尚未完全明确。目前正在评估商用设备的有效性。本文描述了用于修复腹主动脉瘤的血管内设备的一般使用原则，并详细介绍了目前使用的设备的特点以及典型结果。
