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腹主动脉瘤腔内修复术中处理髂动脉病变的新策略

Novel Strategies for the Hostile Iliac Artery during Endovascular Aortic Aneurysm Repair.

作者信息

Joh Jin Hyun

机构信息

Department of Surgery, Kyung Hee University Hospital at Gangdong, Kyung Hee University School of Medicine, Seoul, Korea.

出版信息

Vasc Specialist Int. 2024 Mar 13;40:8. doi: 10.5758/vsi.230119.

DOI:10.5758/vsi.230119
PMID:38475895
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10933419/
Abstract

Successful endovascular aneurysm repair can be achieved with favorable aortic and iliac arterial anatomies. However, patients with challenging iliac anatomy, such as stenotic, calcified, tortuous arteries, or concomitant iliac artery aneurysms, are commonly encountered. Such a hostile iliac anatomy increases the risk of intraprocedural complications and worsens long-term outcomes. This review addresses various technical options for treating patients with a hostile iliac anatomy, including innovative endovascular solutions, physician-modified endografts, and hybrid procedures. These considerations demonstrate the wide scope of therapies that may be offered to patients with an unfavorable iliac anatomy.

摘要

在主动脉和髂动脉解剖结构良好的情况下，可成功进行血管内动脉瘤修复。然而，临床上常见髂动脉解剖结构复杂的患者，如存在狭窄、钙化、迂曲的动脉，或合并髂动脉瘤。这种不利的髂动脉解剖结构会增加术中并发症的风险，并使长期预后恶化。本文综述了治疗髂动脉解剖结构复杂患者的各种技术选择，包括创新性血管内解决方案、医生改良型血管内移植物和杂交手术。这些考量表明，对于髂动脉解剖结构不利的患者，可提供广泛的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34a2/10933419/e57884e3bdb9/vsi-40-8-f6.jpg
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