锁骨下动脉瘤的血管腔内修复：单中心经验结果
Endovascular repair of subclavian artery aneurysms: results from a single-center experience.
作者信息
Gao XiXiang, Li LiQiang, Gu YongQuan, Guo LianRui, Cui ShiJun, Qi LiXing, Li JianXin, Zhang Jian
机构信息
Department of Vascular Surgery, Xuan Wu Hospital and Institute of Vascular Surgery, Capital Medical University, Beijing, China.
出版信息
Perfusion. 2017 Nov;32(8):670-674. doi: 10.1177/0267659117720988. Epub 2017 Jul 12.
OBJECTIVE
To present our experience of the endovascular treatment of subclavian artery aneurysms (SAAs) and analyze the clinical manifestations, imaging findings and treatment outcomes.
METHODS
In this retrospective study, nine patients with SAAs underwent endovascular stent placement in our center between July 2011 and June 2016. Clinical features, imaging findings, treatment outcomes and follow-up results of these SAA patients were retrospectively analyzed.
RESULTS
Nine patients were diagnosed with SAAs by computer tomography angiography (CTA). Five patients underwent percutaneous endovascular stent placement in the subclavian artery. Three patients underwent endovascular repair of the SAAs with coil embolization and stent graft. One patient underwent stent graft implantation by the simultaneous kissing stent technique. Five patients had their symptoms relieved and thrombosis occurred in one case. The mean follow-up period was 17 months, ranging from 8 to 40 months.
CONCLUSION
For patients with SAAs, endovascular treatment is a feasible choice, with a high success rate, few complications and good clinical outcomes.
目的
介绍我们对锁骨下动脉瘤（SAA）进行血管内治疗的经验，并分析其临床表现、影像学表现及治疗结果。
方法
在这项回顾性研究中，2011年7月至2016年6月期间，9例SAA患者在我们中心接受了血管内支架置入术。对这些SAA患者的临床特征、影像学表现、治疗结果及随访结果进行回顾性分析。
结果
9例患者通过计算机断层血管造影（CTA）诊断为SAA。5例患者在锁骨下动脉接受了经皮血管内支架置入术。3例患者采用弹簧圈栓塞和覆膜支架进行SAA的血管内修复。1例患者采用同步吻合法支架技术植入覆膜支架。5例患者症状缓解，1例发生血栓形成。平均随访时间为17个月，范围为8至40个月。
结论
对于SAA患者，血管内治疗是一种可行的选择，成功率高，并发症少，临床效果良好。
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