腹主动脉瘤破裂的治疗策略。

Strategies for ruptured abdominal aortic aneurysms.

作者信息

Monge Michael, Eskandari Mark K

机构信息

Division of Vascular Surgery, Feinberg School of Medicine, Northwestern University, 201 East Huron Street, Chicago, IL 60611, USA.

出版信息

J Vasc Interv Radiol. 2008 Jun;19(6 Suppl):S44-50. doi: 10.1016/j.jvir.2008.02.003.

DOI:10.1016/j.jvir.2008.02.003

PMID:18502386

Abstract

Ruptured abdominal aortic aneurysms (AAAs) represent a lethal condition. The morbidity and mortality rates associated with open surgical repair remain alarmingly high and endoluminal exclusion may be a preferred alternative. Outlined in this review are suggested methods for expedient endovascular repair of ruptured AAAs that involve a multidisciplinary approach. Institutional comparative outcomes of open versus stent-graft repair are also reviewed in lieu of randomized trial data.

摘要

破裂性腹主动脉瘤（AAAs）是一种致命疾病。开放手术修复的发病率和死亡率仍然高得惊人，腔内隔绝术可能是一种更好的选择。这篇综述概述了涉及多学科方法的破裂性AAAs的快速血管内修复建议方法。还对开放手术与支架移植物修复的机构比较结果进行了综述，以替代随机试验数据。