Wendt G, Chuter T, Donayre C, Vorwerk D, Messmer B
Klinik für Thorax-, Herz- und Gefässchirurgie sowie Klinik für Radiologische Diagnostik, Technischen Hochschule Aachen.
Dtsch Med Wochenschr. 1995 Apr 13;120(15):515-8. doi: 10.1055/s-2008-1055372.
Transfemoral intraluminal placement of a woven-dacron bifurcation prosthesis was undertaken to bridge an infrarenal aortic aneurysm (4.6 cm diameter) in a 65-year-old man with chronic coronary heart disease. The Chuter-Gianturco introducing system was used via the right femoral artery to anchor the prosthesis immediately below the origins of the renal arteries. After fixing the right branch of the prosthesis the left one was secured via the left femoral artery. No leakage was demonstrated on the 7th post-operative day and the aneurysm was satisfactorily bridged. Regular follow-up tests showed a normal circulation. Spiral computed tomography after 18 months confirmed complete thrombosis of the aneurysm.--This case shows that the described method is a promising alternative in the treatment of abdominal aneurysm.
对一名患有慢性冠心病的65岁男性，采用经股动脉腔内植入编织涤纶分叉型人工血管来桥接肾下腹主动脉瘤（直径4.6厘米）。通过右股动脉使用Chuter-Gianturco导入系统，将人工血管锚定在肾动脉起始部下方。固定人工血管右分支后，通过左股动脉固定左分支。术后第7天未发现渗漏，动脉瘤桥接效果满意。定期随访检查显示循环正常。18个月后的螺旋计算机断层扫描证实动脉瘤完全血栓形成。——该病例表明，所述方法是治疗腹主动脉瘤的一种有前景的替代方法。
