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[腹主动脉瘤腔内支架假体。一种新手术的初步经验]

[Transluminal stent prosthesis in aneurysm of the abdominal aorta. Initial experiences with a new procedure].

作者信息

Richter G M, Palmaz J C, Allenberg J R, Kauffmann G W

机构信息

Abteilung Radiodiagnostik, Radiologische Universitätsklinik Heidelberg.

出版信息

Radiologe. 1994 Sep;34(9):511-8.

PMID:7800799
Abstract

We report our initial experience with percutaneous treatment of aortic aneurysms in three patients by stent grafts. A newly developed balloon-expandable Palmaz stent in combination with predilated PTFE was used. In two patients a tube-type reconstruction was performed and in the third patient an aorto-bi-iliac reconstruction. Total exclusion of the aneurysm was achieved in one patient. The other two patients had an acceptably minimal amount of residual perfusion, which slightly decreased during the follow-up period of 6 months. One iliac rupture occurred that was immediately treated by insertion of another stent graft. This study confirms the feasibility of such a concept. Further investigation is warranted.

摘要

我们报告了使用支架移植物经皮治疗三例主动脉瘤的初步经验。采用了一种新开发的球囊扩张式帕尔马兹支架与预扩张的聚四氟乙烯相结合的方法。对两名患者进行了管状重建,对第三名患者进行了主动脉双髂动脉重建。一名患者实现了动脉瘤的完全隔绝。另外两名患者的残余灌注量在可接受的最低限度,在6个月的随访期内略有下降。发生了一例髂动脉破裂,通过植入另一个支架移植物立即进行了治疗。这项研究证实了这一概念的可行性。有必要进行进一步的研究。

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