Mazzaccaro Daniela, Occhiuto Maria Teresa, Malacrida Giovanni, Stegher Silvia, Raspadori Andrea, Manfrini Stefano, Tealdi Domenico G, Nano Giovanni
J Cardiothorac Surg. 2013 Apr 29;8:114. doi: 10.1186/1749-8090-8-114.
We describe our 8-year experience with the use of endovascular techniques (ET) for the treatment of abdominal aortic aneurysms (AAA) through a straight endograft.
We retrospectively reviewed data of all patients who were treated for AAA using ET in two centres from 1998 to 2012 and who received a single straight endograft (group A) or a double straight tube (group B). Outcomes were analyzed to assess survival, absence of endoleak and absence of reintervention for both groups. Log-rank and Chi-Square were used as appropriate to make comparison between the two groups. P values < .05 were considered statistically significant.
Fifty-three patients from 1998 to May 2012 were treated for AAA using a straight endograft. In 28 cases (52.8%) a single aortic straight tube was used (Group A), while in the remaining cases a "double trombone technique" was used (Group B).
In our experience the endovascular repair of AAA using straight aortic endografts was a safe and effective technique. Reintervention and endoleaks were slightly more frequent in patients who had received a single endograft compared to patients who were treated using the "trombone technique".
我们描述了8年来使用血管内技术（ET）通过直管型腔内移植物治疗腹主动脉瘤（AAA）的经验。
我们回顾性分析了1998年至2012年在两个中心接受ET治疗AAA且接受单个直管型移植物（A组）或双直管型移植物（B组）的所有患者的数据。分析两组的生存情况、无内漏情况和无需再次干预的情况。根据情况使用对数秩检验和卡方检验对两组进行比较。P值<0.05被认为具有统计学意义。
1998年至2012年5月，53例患者接受了直管型腔内移植物治疗AAA。28例（52.8%）使用单个主动脉直管（A组），其余病例使用“双喇叭技术”（B组）。
根据我们的经验，使用直管型主动脉腔内移植物对AAA进行血管内修复是一种安全有效的技术。与采用“喇叭技术”治疗的患者相比，接受单个腔内移植物治疗的患者再次干预和内漏的发生率略高。
