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采用肾上固定型腔内移植物进行血管内动脉瘤修复术前、术中和术后肾动脉支架置入的可行性。

Feasibility of renal artery stenting before, during, and after endovascular aneurysm repair with suprarenal fixation endograft.

作者信息

Melissano Germano, Civilini Efrem, Baccellieri Domenico, Montorfano Matteo, Chiesa Roberto

机构信息

Scientific Institute H. San Raffaele, Vita-Salute University-School of Medicine, Milan, Italy.

出版信息

Vasc Endovascular Surg. 2007 Apr-May;41(2):140-5. doi: 10.1177/1538574406298481.

Abstract

Suprarenal fixation by means of proximal bare stent may help prevent endograft migration and proximal endoleak. It seems not to compromise renal perfusion and function; however, it is still unclear whether its presence is in conflict with stenting of the renal arteries to treat associated renal stenosis. We report five cases of renal artery stenting performed before, at the same time, or after endovascular treatment of abdominal aortic aneurysm with a suprarenal fixation endograft (Zenith; Cook, Biaverskov, Denmark). Suprarenal fixation endograft seems not to affect renal artery stenting regardless the timing of the procedure.

摘要

通过近端裸支架进行肾上腺固定可能有助于防止腔内移植物移位和近端内漏。它似乎不会损害肾灌注和功能;然而,其存在是否与肾动脉支架置入术治疗相关肾狭窄相冲突仍不清楚。我们报告了5例在使用带肾上腺固定的腔内移植物(Zenith;Cook,比弗斯科夫,丹麦)对腹主动脉瘤进行血管内治疗之前、同时或之后进行肾动脉支架置入术的病例。无论手术时机如何,带肾上腺固定的腔内移植物似乎都不会影响肾动脉支架置入术。

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