Ehlert Bryan A, Abularrage Christopher J
Division of Vascular Surgery & Endovascular Therapy, Department of Surgery, The Johns Hopkins Hospital, MD 21287, USA.
Future Cardiol. 2016 May;12(3):317-26. doi: 10.2217/fca.16.2. Epub 2016 Apr 19.
Endovascular aortic aneurysm repair has become the predominant surgical therapy for abdominal aortic aneurysms. Whereas anatomical limitations had become the major contraindication to endovascular treatment, fenestrated stent grafts were developed to overcome such obstacles. Fenestrated endovascular aortic aneurysm repair now provides an additional treatment option for patients felt to be unsuitable for an invasive open repair whose anatomy is not compatible with more traditional stent grafts. We review the evolution of fenestrated endovascular aortic aneurysm repair and compare its safety and efficacy to other endovascular options.
血管内主动脉瘤修复术已成为腹主动脉瘤的主要外科治疗方法。尽管解剖学限制曾是血管内治疗的主要禁忌症，但开窗支架型人工血管得以开发以克服此类障碍。对于那些解剖结构与更传统的支架型人工血管不兼容、被认为不适合侵入性开放修复的患者，开窗血管内主动脉瘤修复术现在提供了一种额外的治疗选择。我们回顾了开窗血管内主动脉瘤修复术的发展历程，并将其安全性和有效性与其他血管内治疗选择进行比较。
