Orr Nathan, Minion David, Bobadilla Joseph L
Vascular and Endovascular Surgery, Department of Surgery, University of Kentucky, Lexington, KY, USA.
Vasc Health Risk Manag. 2014 Aug 19;10:493-505. doi: 10.2147/VHRM.S46452. eCollection 2014.
Thoracoabdominal aneurysms account for roughly 3% of identified aneurysms annually in the United States. Advancements in endovascular techniques and devices have broadened their application to these complex surgical problems. This paper will focus on the current state of endovascular thoracoabdominal aneurysm repair, including specific considerations in patient selection, operative planning, and perioperative complications. Both total endovascular and hybrid options will be considered.
在美国,胸腹主动脉瘤每年约占已确诊动脉瘤的3%。血管内技术和器械的进步已将其应用范围扩大到这些复杂的外科问题。本文将重点关注血管内修复胸腹主动脉瘤的现状,包括患者选择、手术规划和围手术期并发症的具体注意事项。将同时考虑完全血管内修复和杂交修复两种选择。