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腹主动脉瘤包裹术:一种可行的替代方法。

Wrapping of abdominal aortic aneurysms: a viable alternative.

作者信息

Kartchner M M, Lovett V F

出版信息

Surg Clin North Am. 1986 Apr;66(2):397-401. doi: 10.1016/s0039-6109(16)43890-9.

DOI:10.1016/s0039-6109(16)43890-9
PMID:2937169
Abstract

Abdominal aortic aneurysm wrapping is an excellent procedure to use for poor-risk patients, calcified aneurysms, aneurysms extending above the renal arteries, and prophylaxis for small aneurysms. The procedure has a low operative mortality rate and a low long-term graft-related complication rate. It appears that aortic wrapping can be performed with a similar mortality and long-term survival rate as standard resection and grafting procedures, in spite of its application in generally poorer-risk patients. However, we do not believe that this procedure will replace aortic resection and grafting for most lumbar aortic aneurysms, but it should be considered for use in selected instances and should be in the armamentarium of all vascular surgeons.

摘要

腹主动脉瘤包裹术是一种适用于高危患者、钙化性动脉瘤、肾动脉上方延伸的动脉瘤以及小动脉瘤预防性治疗的优秀术式。该手术的手术死亡率低,长期移植物相关并发症发生率也低。尽管腹主动脉瘤包裹术应用于一般风险较高的患者,但似乎其手术死亡率和长期生存率与标准切除和移植手术相似。然而,我们认为对于大多数腹主动脉瘤,该手术不会取代主动脉切除和移植术,但在特定情况下应考虑使用,并且应成为所有血管外科医生的技术储备。

相似文献

1
Wrapping of abdominal aortic aneurysms: a viable alternative.腹主动脉瘤包裹术:一种可行的替代方法。
Surg Clin North Am. 1986 Apr;66(2):397-401. doi: 10.1016/s0039-6109(16)43890-9.
2
Late rupture after dacron wrapping of aortic aneurysms.涤纶包裹主动脉瘤后的晚期破裂
Circulation. 1986 Sep;74(3 Pt 2):I11-4.
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Subtotal mesh-wrapping in the treatment for abdominal aortic aneurysm.腹主动脉瘤治疗中的部分网状包裹术
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Marlex mesh wrapping of abdominal aortic aneurysm.腹主动脉瘤的Marlex网包裹术。
Ann R Coll Surg Engl. 1977 Jan;59(1):65-8.
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A complication five years after wrapping of an abdominal aortic aneurysm.腹主动脉瘤包裹术后五年出现的并发症。
Neth J Surg. 1987 Oct;39(5):158.
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Long-term experience of girdling the ascending aorta with Dacron mesh as definitive treatment for aneurysmal dilation.使用涤纶网环绕升主动脉作为动脉瘤扩张的确定性治疗方法的长期经验。
Ann Thorac Surg. 2007 Feb;83(2):S780-4; discussion S785-90. doi: 10.1016/j.athoracsur.2006.10.086.
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Late iliac artery aneurysms and occlusive disease after aortic tube grafts for abdominal aortic aneurysm repair. A 35-year experience.腹主动脉瘤修复术中使用主动脉移植管后发生的髂动脉晚期动脉瘤和闭塞性疾病。35年的经验。
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Mycotic aneurysms of the thoracic and abdominal aorta and iliac arteries: experience with anatomic and extra-anatomic repair in 33 cases.胸主动脉、腹主动脉及髂动脉霉菌性动脉瘤:33例解剖及非解剖修复经验
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Twenty-one years' experience with ruptured abdominal aortic aneurysms.
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