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血管腔内主动脉瘤修复术后腹主动脉瘤破裂

Ruptured abdominal aortic aneurysm after endovascular aortic aneurysm repair.

作者信息

Lee Chung Won, Chung Sung Woon, Kim Jong Won, Kim Sangpil, Bae Mi Ju, Kim Chang Won

机构信息

Department of Thoracic and Cardiovascular Surgery, School of Medicine, Pusan National University, Korea.

出版信息

Korean J Thorac Cardiovasc Surg. 2011 Feb;44(1):68-71. doi: 10.5090/kjtcs.2011.44.1.68. Epub 2011 Feb 12.

DOI:10.5090/kjtcs.2011.44.1.68
PMID:22263128
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3249277/
Abstract

In treating uncomplicated abdominal aortic aenurysm, endovascular aortic aneurysm repair (EVAR) has been employed as a good alternative to open repair with low perioperative morbidity and mortality. However, the aneurysm can enlarge or rupture even after EVAR as a result of device failure, endoleak, or graft migration. We experienced two cases of aneurismal rupture after EVAR, which were successfully treated by surgical extra-anatomic bypass.

摘要

在治疗单纯性腹主动脉瘤时，血管腔内主动脉瘤修复术（EVAR）已成为开放性修复的一种良好替代方法，围手术期发病率和死亡率较低。然而，即使在EVAR术后，由于器械故障、内漏或移植物移位，动脉瘤仍可能扩大或破裂。我们经历了两例EVAR术后动脉瘤破裂的病例，通过外科解剖外旁路手术成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d3/3249277/c9af37487e8d/kjtcs-44-68-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d3/3249277/7e52dd1d8127/kjtcs-44-68-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d3/3249277/c9af37487e8d/kjtcs-44-68-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d3/3249277/7e52dd1d8127/kjtcs-44-68-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37d3/3249277/c9af37487e8d/kjtcs-44-68-g002.jpg

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本文引用的文献

1
Endovascular vs. open repair of abdominal aortic aneurysms in the Medicare population.医疗保险人群中腹主动脉瘤的血管内修复与开放修复对比
N Engl J Med. 2008 Jan 31;358(5):464-74. doi: 10.1056/NEJMoa0707348.
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Conversion to open repair after endografting for abdominal aortic aneurysm: causes, incidence and results.
腹主动脉瘤腔内修复术后转为开放修复术：原因、发生率及结果
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Factors that affect the survival rate of patients with ruptured abdominal aortic aneurysms.影响腹主动脉瘤破裂患者生存率的因素。
J Vasc Surg. 1997 Dec;26(6):939-45; discussion 945-8. doi: 10.1016/s0741-5214(97)70005-3.
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Conversion from endoluminal to open repair of abdominal aortic aneurysms: a hazardous procedure.腹主动脉瘤腔内修复术转为开放修复术：一项危险的手术。
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Transfemoral intraluminal graft implantation for abdominal aortic aneurysms.经股动脉腔内移植物植入治疗腹主动脉瘤
Ann Vasc Surg. 1991 Nov;5(6):491-9. doi: 10.1007/BF02015271.