Rousseau H, Bolduc J P, Dambrin C, Marcheix B, Canevet G, Otal P
Department of Radiology, University Hospital Rangueil, Toulouse, France.
Tech Vasc Interv Radiol. 2005 Mar;8(1):61-72. doi: 10.1053/j.tvir.2005.04.001.
Endovascular treatment of aortic disease has emerged as an alternative mode of treatment that is particularly attractive for patients with severe comorbidities who would not be ideal candidates for open surgery. Actually, short-term morbidity and mortality rates, of large series, compare favorably with those from surgery, and stent-graft placement is proving to be a safe, minimally invasive, and effective treatment for thoracic aortic diseases. However, although endoluminal interventions are minimally invasive, they are associated with complications, as are surgical methods. In this article, indications, technical aspects, and results of endovascular TAA repairs will be reviewed. We will also examine the advantages and limitations of stent-graft treatment. Finally, we will discuss the management of complications following aortic stent-graft implantation. We intentionally do not cover the topic of thoracic dissection, as it is being covered in another article in this volume.
主动脉疾病的血管内治疗已成为一种替代治疗方式，对于那些患有严重合并症、不适合接受开放手术的患者来说，这种治疗方式尤其具有吸引力。实际上，大量病例系列的短期发病率和死亡率与手术治疗的结果相比更具优势，并且支架型人工血管置入术已被证明是治疗胸主动脉疾病的一种安全、微创且有效的方法。然而，尽管腔内介入治疗是微创的，但它们与手术方法一样，也会引发并发症。在本文中，我们将回顾血管内胸主动脉瘤修复术的适应症、技术要点及结果。我们还将探讨支架型人工血管治疗的优缺点。最后，我们将讨论主动脉支架型人工血管植入术后并发症的处理。由于本卷中的另一篇文章已涵盖该主题，因此我们有意不涉及胸主动脉夹层的内容。
