Chaer Rabih A, Makaroun Michel S, Chedrawy Edgar G, Abdelhady Khaled, Lele Himalaya, Massad Malek G
Division of Vascular Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pa., USA.
Cardiology. 2008;109(3):145-53. doi: 10.1159/000106674. Epub 2007 Aug 30.
Open repair of abdominal and thoracic aortic aneurysms continues to be associated with considerable morbidity and mortality. Endovascular repair of abdominal and thoracic aortic aneurysms has evolved over the past few years and has significantly reduced the morbidity of aortic aneurysm repair compared with the standard open surgical procedures. Several devices have been approved for clinical use for this purpose. This has allowed the treatment of patients who are otherwise at high risk for open repair. This review paper aims to (1) describe the general principles of use for endovascular devices and review the radiographic features and clinical trials for the devices in current use, (2) present the results of the clinical trials that led to the approval and marketing of the current devices, and (3) review new techniques and approaches for the treatment of aortic aneurysms.
腹主动脉瘤和胸主动脉瘤的开放修复仍然伴随着相当高的发病率和死亡率。在过去几年中，腹主动脉瘤和胸主动脉瘤的血管内修复技术不断发展，与标准的开放手术相比，显著降低了主动脉瘤修复的发病率。有几种器械已被批准用于此目的的临床应用。这使得那些原本进行开放修复手术风险较高的患者能够得到治疗。这篇综述文章旨在：（1）描述血管内器械的一般使用原则，并回顾当前使用器械的影像学特征和临床试验；（2）介绍导致当前器械获批和上市的临床试验结果；（3）回顾治疗主动脉瘤的新技术和新方法。
