评估髂内动脉分支型血管内支架移植物的有效性。
Evaluating the Effectiveness of Internal Iliac Artery Branched Endovascular Stent Grafts.
作者信息
Naji Faysal, Srivatsav Varun, Qadura Mohammed, Harlock John, Andrinopoulos Tara, Iyer Vikram, Rapanos Theodore
机构信息
Division of Vascular Surgery, Department of Surgery, McMaster University, Hamilton, ON, Canada.
Michael G. DeGroote School of Medicine, Faculty of Health Sciences, McMaster University, Hamilton, ON, Canada.
出版信息
Ann Vasc Surg. 2017 Nov;45:247-252. doi: 10.1016/j.avsg.2017.06.126. Epub 2017 Jul 6.
BACKGROUND
The aim of this study is to describe our institutional experience using iliac branch grafts (IBGs) in aortoiliac aneurysm repair.
METHODS
From October 2009 to April 2016, 41 consecutive patients (all men), mean age 71.7 years (range 55-87), underwent IBG implantation. Abdominal aortic aneurysm with common iliac artery involvement (n = 21) or bilateral common iliac artery aneurysms (n = 20) were indications. Computed tomography was used to evaluate patency and postoperative endoleaks within 1 month of implantation and after 1 year.
RESULTS
A total of 42 IBGs were deployed in 41 patients successfully. One hundred percent of grafts implanted were patent at 1 month and at annual follow-up. There was 1 mortality at 30 days, due to acute renal failure. Sixteen type II and 1 type Ib endoleaks were found, for which 3 reinterventions were performed and the remainder treated conservatively. Five patients had complications which required reintervention.
CONCLUSIONS
IBG placement has excellent short-term outcomes and potential to limit buttock claudication in the treatment of abdominal aortic aneurysms involving the iliac arteries.
背景
本研究旨在描述我们机构使用髂支移植物（IBG）进行主髂动脉瘤修复的经验。
方法
2009年10月至2016年4月，41例连续患者（均为男性），平均年龄71.7岁（范围55 - 87岁），接受了IBG植入。适应证为累及髂总动脉的腹主动脉瘤（n = 21）或双侧髂总动脉瘤（n = 20）。在植入后1个月内及1年后，使用计算机断层扫描评估通畅情况和术后内漏。
结果
41例患者共成功植入42个IBG。植入的移植物在1个月及年度随访时通畅率均为100%。30天时1例患者死亡，原因是急性肾衰竭。发现16例II型内漏和1例Ib型内漏，其中3例进行了再次干预，其余进行保守治疗。5例患者出现需要再次干预的并发症。
结论
在治疗累及髂动脉的腹主动脉瘤时，IBG植入具有出色的短期疗效，且有可能限制臀部间歇性跛行。
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