Watts Micah M
Vascular Institute of Atlantic Medical Imaging, Galloway, New Jersey.
Semin Intervent Radiol. 2020 Oct;37(4):339-345. doi: 10.1055/s-0040-1714728. Epub 2020 Oct 1.
Endovascular aneurysm repair (EVAR) is a common, safe, and effective method of treating abdominal aortic aneurysms. Traditionally treated via surgical cutdown over the common femoral arteries, many recent studies demonstrate percutaneous access techniques to avoid the surgical cutdown. Developing familiarity with these percutaneous techniques, including risks, complications, adjuncts, and alternative accesses, can help improve the outcomes and availability of EVAR. As these techniques become increasingly common, it is not unlikely that they can be practiced safely in select patients in an outpatient setting.
血管内动脉瘤修复术(EVAR)是治疗腹主动脉瘤的一种常见、安全且有效的方法。传统上通过切开股总动脉进行治疗,最近许多研究表明可采用经皮穿刺技术来避免切开手术。熟悉这些经皮穿刺技术,包括风险、并发症、辅助手段和替代入路,有助于改善EVAR的治疗效果和可及性。随着这些技术越来越普遍,在门诊环境中对特定患者安全实施这些技术并非不可能。