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腹主动脉瘤腔内治疗:髂支分支覆膜支架的四年疗效。

Endovascular treatment of aorto-iliac aneurysms: four-year results of iliac branch endograft.

机构信息

Department of Biomedicine and Prevention, Unit of Vascular Surgery, University of Rome 'Tor Vergata', Viale Oxford 81, 00133 Rome, Italy.

出版信息

Eur J Vasc Endovasc Surg. 2013 Jun;45(6):607-9. doi: 10.1016/j.ejvs.2013.02.017. Epub 2013 Mar 27.

DOI:10.1016/j.ejvs.2013.02.017
PMID:23540808
Abstract

INTRODUCTION

The aim of this report was to analyse early and mid-term outcomes of endovascular treatment (endovascular aneurysm repair, EVAR) for aorto-iliac aneurysms with the use of an iliac branch device (IBD).

REPORT

A total of 85 EVAR procedures with IBD were electively carried out in 81 patients between September 2007 and August 2012. Technical success was obtained in 98.7% of the cases. The mean follow-up duration was 20.4 months (SD ± 15.4). There was one IBD occlusion (1.2%). Estimated 48 months' survival, freedom from re-intervention and branch occlusion were 76.7%, 88.3% and 98%, respectively.

CONCLUSIONS

EVAR for aorto-iliac aneurysms using IBD is an effective procedure with low complication and re-intervention rates at mid-term follow-up.

摘要

简介

本报告旨在分析使用髂分支装置(iliac branch device,IBD)进行腹主动脉-髂动脉瘤腔内治疗(endovascular aneurysm repair,EVAR)的早期和中期结果。

报告

2007 年 9 月至 2012 年 8 月期间,81 例患者共进行了 85 例选择性 EVAR 手术和 IBD。术中技术成功率为 98.7%。平均随访时间为 20.4 个月(SD ± 15.4)。有 1 例 IBD 闭塞(1.2%)。估计 48 个月的生存率、免于再次干预和分支闭塞率分别为 76.7%、88.3%和 98%。

结论

使用 IBD 进行腹主动脉-髂动脉瘤的 EVAR 是一种有效的治疗方法,中期随访结果显示并发症和再次干预率较低。

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