Pol R A, Tielliu I F J, Zeebregts C J
Department of Surgery, Division of Vascular Surgery, University of Groningen, University Medical Center Groningen, the Netherlands.
J Cardiovasc Surg (Torino). 2013 Apr;54(2):173-80.
The suitability for endovascular aneurysm repair (EVAR) is determined primarily by abdominal aortic aneurysm (AAA) anatomy. For patients unsuitable for standard EVAR, due to proximal neck anatomy, fenestrated aortic stent-grafting (FEVAR) is a viable alternative to open repair surgery. Initially FEVAR stent-grafts were custom-made to fit the unique anatomical characteristics of each treated individual. This customization leads to production delays therefore excluding acute aneurysms from endovascular treatment. For patients in need for more urgent treatment, several alternatives have currently been developed. The aim of this review is to provide an overview on current developments and results in acute endovascular abdominal aortic aneurysm repair.
血管内动脉瘤修复术（EVAR）的适用性主要由腹主动脉瘤（AAA）的解剖结构决定。对于因近端颈部解剖结构而不适合标准EVAR的患者，开窗主动脉支架植入术（FEVAR）是开放修复手术的一种可行替代方案。最初，FEVAR支架移植物是定制的，以适应每个接受治疗个体的独特解剖特征。这种定制导致生产延迟，因此将急性动脉瘤排除在血管内治疗之外。对于需要更紧急治疗的患者，目前已经开发了几种替代方案。本综述的目的是概述急性血管内腹主动脉瘤修复的当前进展和结果。
