Parodi J C, Marin M L, Veith F J
Department of Vascular Surgery, Instituto Cardiovascular de Buenos Aires, Argentina.
Arch Surg. 1995 May;130(5):549-52. doi: 10.1001/archsurg.1995.01430050099017.
Endovascular aortic graft implantation is a new procedure for the repair of arterial aneurysms. We report on the first such case successfully performed in the United States. A 76-year-old man with severe oxygen-dependent pulmonary insufficiency, coronary artery disease, and recurrent ventricular tachyrhythmia was also diagnosed as having a 7.5-cm infrarenal abdominal aortic aneurysm. Because of the high risks associated with conventional surgical repair, consent was obtained for compassionate use of an experimental device. Using local anesthesia, a 22-mm Dacron prosthesis was inserted under fluoroscopic guidance through an open, left transfemoral route. Completion arteriography demonstrated aneurysm exclusion. No blood transfusion was required and there were no perioperative complications. Further technical refinements and clinical trials will be required prior to the broad implementation of this technique.
血管内主动脉移植物植入术是一种修复动脉动脉瘤的新方法。我们报告了美国成功实施的首例此类病例。一名76岁男性，患有严重的氧依赖型肺功能不全、冠状动脉疾病和复发性室性快速心律失常，同时被诊断患有一个7.5厘米的肾下腹主动脉瘤。由于传统手术修复存在高风险，已获得使用实验装置的同情使用许可。采用局部麻醉，通过开放的左股动脉途径在荧光透视引导下插入一个22毫米的涤纶人工血管。完成血管造影显示动脉瘤被排除。无需输血，且无围手术期并发症。在广泛应用该技术之前，还需要进一步的技术改进和临床试验。
