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定制分叉人工血管移植物用于主髂动脉瘤修复

Custom-Made Bifurcated Prosthetic Graft for Aortoiliac Aneurysm Repair.

作者信息

Papadoulas Spyros, Kakkos Stavros K, Ntouvas Ioannis, Nikolakopoulos Konstantinos, Tsantrizos Polyzois, Papageorgopoulou Chrysanthi, Kouri Natasa

机构信息

Department of Vascular Surgery, University Hospital of Patras, Patras, Greece.

出版信息

Aorta (Stamford). 2021 Apr;9(2):88-91. doi: 10.1055/s-0041-1725090. Epub 2021 Oct 7.

DOI:10.1055/s-0041-1725090
PMID:34619797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8526147/
Abstract

Revascularization of the internal iliac artery during open repair of aortoiliac aneurysms can be challenging, especially if there is a significant distance between the orifices of the internal and external iliac arteries owing to common iliac aneurysmal dilatation. We describe a technique involving insertion of an 18-mm tube graft between the proximal aortic neck and aneurysmal common iliac artery bifurcation. Revascularization of the contralateral external iliac artery is accomplished through an 8-mm side arm graft.

摘要

在开放修复主髂动脉瘤时,髂内动脉的血运重建可能具有挑战性,尤其是当由于髂总动脉瘤样扩张导致髂内动脉和髂外动脉开口之间存在较大距离时。我们描述了一种技术,即在近端主动脉颈部和动脉瘤性髂总动脉分叉之间插入一个18毫米的人工血管。对侧髂外动脉的血运重建通过一个8毫米的侧臂人工血管完成。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d62f/8526147/8662f4b716ba/10-1055-s-0041-1725090-i190045-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d62f/8526147/ee4edc2d82c9/10-1055-s-0041-1725090-i190045-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d62f/8526147/89a068ea6192/10-1055-s-0041-1725090-i190045-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d62f/8526147/c226dbc07bda/10-1055-s-0041-1725090-i190045-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d62f/8526147/8662f4b716ba/10-1055-s-0041-1725090-i190045-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d62f/8526147/ee4edc2d82c9/10-1055-s-0041-1725090-i190045-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d62f/8526147/89a068ea6192/10-1055-s-0041-1725090-i190045-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d62f/8526147/c226dbc07bda/10-1055-s-0041-1725090-i190045-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d62f/8526147/8662f4b716ba/10-1055-s-0041-1725090-i190045-4.jpg

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本文引用的文献

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Treatment options for isolated iliac artery aneurysms and their impact on aortic diameter after treatment.孤立性髂动脉瘤的治疗选择及其对治疗后主动脉直径的影响。
Ann Surg Treat Res. 2019 Mar;96(3):146-151. doi: 10.4174/astr.2019.96.3.146. Epub 2018 Feb 26.
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A Novel Method for the Treatment of Bilateral Hypogastric Aneurysms Using Hybrid Polytetrafluoroethylene Graft.一种使用混合聚四氟乙烯移植物治疗双侧腹下动脉瘤的新方法。
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