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目前用于治疗腹主动脉瘤的主动脉腔内移植物。

Current aortic endografts for the treatment of abdominal aortic aneurysms.

作者信息

Colvard Benjamin, Georg Yannick, Chakfe Nabil, Swanstrom Lee

机构信息

a IHU Strasbourg , Strasbourg , France.

b Department of Vascular Surgery , CHU Strasbourg , Strasbourg , France.

出版信息

Expert Rev Med Devices. 2016 May;13(5):475-86. doi: 10.1586/17434440.2016.1162709. Epub 2016 Mar 22.

Abstract

Endovascular Aneurysm Repair is a widely adopted method of treatment for patients with abdominal aortic aneurysms. The minimally invasive approach offered with EVAR has become popular not only among physicians and patients, but in the medical device industry as well. Over the past 25 years the global market for aortic endografts has increased rapidly, resulting in a wide range of devices from various companies. Currently, there are seven endografts approved by the FDA for the treatment of abdominal aortic aneurysms. These devices offer a wide range of designs intended to increase inclusion criteria while decreasing technical complications such as endoleak and migration. Despite advances in device design, secondary interventions and follow-up requirements remain a significant issue. New devices are currently being studied in the U.S. and abroad and may significantly reduce complications and secondary interventions.

摘要

血管内动脉瘤修复术是治疗腹主动脉瘤患者广泛采用的方法。血管内动脉瘤修复术(EVAR)提供的微创方法不仅在医生和患者中受到欢迎,在医疗器械行业也很受欢迎。在过去25年里,主动脉内移植物的全球市场迅速增长,导致各公司推出了各种各样的设备。目前,美国食品药品监督管理局(FDA)批准了七种用于治疗腹主动脉瘤的内移植物。这些设备提供了广泛的设计,旨在扩大纳入标准,同时减少诸如内漏和移位等技术并发症。尽管设备设计有所进步,但二次干预和随访要求仍然是一个重大问题。目前美国和国外正在研究新的设备,可能会显著减少并发症和二次干预。

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