Grant April A, Chastain Stephen L, Gray Bruce H
, 701 Grove Road, Greenville, SC, 20605, USA,
Curr Cardiol Rep. 2012 Jan 29. doi: 10.1007/s11886-012-0247-0.
Fatal rupture of abdominal aortic aneurysm (AAA) remains a feared complication. Development of vascular surgery techniques over 50 years ago has fulfilled the promise of preventing rupture, but the significant morbidity associated with open repair causes physicians and their older patients pause. With the advent of less invasive endovascular techniques and devices, patients now have another viable treatment option. We review some of the important trials as well as discuss developments in the continually evolving field of endovascular repair of AAAs.
腹主动脉瘤(AAA)破裂致死仍是令人恐惧的并发症。50多年前血管外科技术的发展实现了预防破裂的承诺,但开放修复相关的显著发病率让医生及其老年患者有所顾虑。随着侵入性较小的血管内技术和器械的出现,患者现在有了另一种可行的治疗选择。我们回顾一些重要试验,并讨论腹主动脉瘤血管内修复这一不断发展领域的进展。