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腹主动脉瘤腔内治疗后瘤囊缩小:不仅仅与瘤囊压力和内漏相关。

Aneurysm sac shrinkage after endovascular treatment of the aorta: beyond sac pressure and endoleaks.

机构信息

Department of Vascular Surgery, 'Demokritus' University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece.

出版信息

Vasc Med. 2012 Jun;17(3):168-73. doi: 10.1177/1358863X11431293. Epub 2012 Mar 8.

DOI:10.1177/1358863X11431293
PMID:22402935
Abstract

The isolation of the aneurysm sac from systemic pressure and its consequent shrinkage are considered criteria of success after endovascular repair (EVAR). However, the process of shrinkage does not solely depend on the intrasac pressure, the predictive role of which remains ambiguous. This brief review summarizes the additional pathophysiological mechanisms that regulate the biomechanical properties of the aneurysm wall and may interfere with the process of aneurysm sac shrinkage.

摘要

从体循环压力中隔离出动脉瘤囊并使其随之缩小被认为是血管内修复(EVAR)后成功的标准。然而,这种缩小过程并不仅仅取决于瘤腔内压力,瘤腔内压力的预测作用仍然存在争议。本文简要综述了调节动脉瘤壁生物力学特性并可能干扰动脉瘤囊缩小过程的其他病理生理机制。

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