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在肾功能不全患者中，经皮腔内主动脉瘤修复术采用INCRAFT血管内移植物并由CO数字减影血管造影引导。

Percutaneous Endovascular Aortic Aneurysm Repair with INCRAFT Endograft Guided by CO Digital Subtraction Angiography in Patients with Renal Insufficiency.

作者信息

Cuen-Ojeda Cesar, Anaya-Ayala Javier E, Lizola Rene, Navarro-Iniguez Julio A, Luna Lizeth, Guerrero-Hernandez Manuel, Hinojosa Carlos A

机构信息

Department of Vascular and Endovascular Surgery, Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán, Mexico City, México.

出版信息

Vasc Specialist Int. 2020 Mar 31;36(1):28-32. doi: 10.5758/vsi.2020.36.1.28.

DOI:10.5758/vsi.2020.36.1.28
PMID:32292766
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7119149/
Abstract

Iodinated contrast is the most common contrast agent used during endovascular abdominal aneurysm repair (EVAR). However, its use may worsen kidney function in patients with renal insufficiency. Previous studies have demonstrated the safety and effectiveness of carbon dioxide (CO)-EVAR. Here, we report cases of three male patients with mild renal insufficiency (mean age: 79 years) that successfully underwent CO-EVAR using INCRAFT ultra-low profile endografts. CO angiography provided the necessary vascular roadmap for safe and effective percutaneous EVAR, eliminating the need for iodinated contrast media and preventing contrast-induced nephropathy.

摘要

碘化造影剂是血管内腹主动脉瘤修复术（EVAR）中最常用的造影剂。然而，对于肾功能不全的患者，使用碘化造影剂可能会使肾功能恶化。此前的研究已证实二氧化碳（CO）-EVAR的安全性和有效性。在此，我们报告3例轻度肾功能不全男性患者（平均年龄：79岁）成功使用INCRAFT超小型腔内移植物进行CO-EVAR的病例。CO血管造影为安全有效的经皮EVAR提供了必要的血管路径图，无需使用碘化造影剂，并预防了造影剂肾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dab6/7119149/87b49b289728/VSI-36-028-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dab6/7119149/9c03df4c08a3/VSI-36-028-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dab6/7119149/7e7fa1a52807/VSI-36-028-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dab6/7119149/87b49b289728/VSI-36-028-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dab6/7119149/9c03df4c08a3/VSI-36-028-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dab6/7119149/7e7fa1a52807/VSI-36-028-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dab6/7119149/87b49b289728/VSI-36-028-f3.jpg

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本文引用的文献

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J Vasc Surg. 2019 Jul;70(1):102-106. doi: 10.1016/j.jvs.2018.10.068. Epub 2018 Dec 21.
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Ann Vasc Surg. 2018 Aug;51:170-176. doi: 10.1016/j.avsg.2018.02.036. Epub 2018 Jun 6.
3
Towards a Contrast free Approach at EVAR: a New Look at an Old Tool - CO Angiography.迈向无造影剂的腔内修复术方法：重新审视一种古老工具——CO血管造影术。
Eur J Vasc Endovasc Surg. 2017 Dec;54(6):737. doi: 10.1016/j.ejvs.2017.08.019. Epub 2017 Oct 5.
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Tips About the Cordis INCRAFT Endograft.关于科迪斯公司INCRAFT腔内移植物的提示。
Ann Vasc Surg. 2016 Jan;30:205-10. doi: 10.1016/j.avsg.2015.06.096. Epub 2015 Sep 11.
5
Incidence of Acute Kidney Injury (AKI) after Endovascular Abdominal Aortic Aneurysm Repair (EVAR) and Impact on Outcome.腹主动脉瘤腔内修复术（EVAR）后急性肾损伤（AKI）的发生率及其对预后的影响。
Eur J Vasc Endovasc Surg. 2015 May;49(5):534-40. doi: 10.1016/j.ejvs.2015.01.002. Epub 2015 Feb 27.
6
First-in-human study of the INCRAFT endograft in patients with infrarenal abdominal aortic aneurysms in the INNOVATION trial.在 INNOVATION 试验中，对 INCRART 覆膜支架在肾下腹部主动脉瘤患者中的人体首次研究。
J Vasc Surg. 2013 Apr;57(4):906-14. doi: 10.1016/j.jvs.2012.09.079. Epub 2013 Jan 18.
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Endovascular aortic aneurysm repair with carbon dioxide-guided angiography in patients with renal insufficiency.肾功能不全患者行二氧化碳引导血管造影的腔内主动脉瘤修复术。
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8
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