Moulakakis K G, Papapetrou A, Giannakopoulos T G, Avgerinos E D, Kakisis J, Brountzos E N, Liapis C D
Department of Vascular Surgery, Athens University Medical School, Attikon University Hospital, Athens, Greece.
Vasa. 2012 Jul;41(4):295-300. doi: 10.1024/0301-1526/a000207.
Patients with juxtarenal aneurysms require complex surgical open repair, which is associated with increased mortality and morbidity. An alternative procedure that can be used is the "chimney graft" technique. Three cases of abdominal aortic aneurysms were successfully treated in our department with this technique. One type-Ia endoleak occurred which was successfully treated with coiling and biological glue infusion. All of the chimney grafts have remained patent for the period of observation. The "chimney" technique has good results as a bail out procedure in complex EVAR or in well planned difficult cases. Long-term data is necessary to determine the efficacy of this technique.
肾旁动脉瘤患者需要进行复杂的开放性手术修复，这与死亡率和发病率的增加相关。一种可供选择的手术方法是“烟囱式移植物”技术。我们科室采用该技术成功治疗了3例腹主动脉瘤。发生了1例Ⅰa型内漏，通过弹簧圈栓塞和生物胶注入成功治疗。在观察期内，所有烟囱式移植物均保持通畅。“烟囱”技术作为复杂的腔内血管修复术（EVAR）或精心规划的疑难病例的补救手术，效果良好。需要长期数据来确定该技术的疗效。
