Department of Radiology, Södersjukhuset, Stockholm, Sweden.
Scand J Surg. 2010;99(4):226-9. doi: 10.1177/145749691009900409.
This retrospective study was undertaken to examine the risks associated with obstruction of the coeliac trunk in the process of treating aneurysms with endografting.
120 patients were treated by endografting for aneurysmal disease. Of these, a subgroup of 9 patients had their celiac trunk covered. If possible, a preoperative angiography was performed to evaluate collateral flow from the superior mesenteric artery. This was considered to predict the risk for ischemia.
None of the patients had any severe clinical event of the celiac trunk occlusion or clinical signs of intestinal ischemia. Three patients had transient increase of liver enzymes.
In cases where the distal landing zone of the descending thoracic aorta is to short for endografting, covering of the celiac trunk may be an option if no other surgical alter-native is apparent. Preoperative angiography to visualise the presence of collateral vessels from the superior mesenteric artery is recommended.
本回顾性研究旨在探讨腹主动脉瘤腔内修复术中内脏动脉干阻塞的相关风险。
120 例患者接受了腹主动脉瘤腔内修复术治疗。其中，9 例患者的内脏动脉干被覆盖。如果可能，术前进行血管造影以评估来自肠系膜上动脉的侧支血流。这被认为可以预测缺血风险。
无患者发生内脏动脉干闭塞的严重临床事件或肠道缺血的临床征象。3 例患者出现短暂性肝酶升高。
在降主动脉的远端着陆区太短而无法进行腔内修复术的情况下，如果没有其他明显的手术选择，覆盖内脏动脉干可能是一种选择。建议进行术前血管造影以观察肠系膜上动脉的侧支血管的存在。
