Yusuf S W, Baker D M, Chuter T A, Whitaker S C, Wenham P W, Hopkinson B R
Vascular Surgery, University Hospital, Nottingham, Nottinghamshire, UK.
Lancet. 1994 Sep 3;344(8923):650-1. doi: 10.1016/s0140-6736(94)92086-9.
Traditional open repair of abdominal aortic aneurysm has disadvantages. We present our experience of transfemoral endoluminal repair with a bifurcated graft system. 29 patients with aortic aneurysm over 5.5 cm in diameter and 1 with a 3.2 cm aneurysm and bilateral iliac stenosis were assessed; 5 were suitable for the procedure. The operation was successful in all the patients, without haemodynamic compromise or major complications. This technique has the potential to reduce morbidity and mortality from abdominal aortic aneurysm. Further modifications are required to make it applicable to most aneurysms.
传统的腹主动脉瘤开放修复术存在缺点。我们介绍了使用分叉移植物系统经股动脉腔内修复的经验。对29例直径超过5.5厘米的主动脉瘤患者和1例直径3.2厘米且伴有双侧髂动脉狭窄的动脉瘤患者进行了评估；其中5例适合该手术。所有患者手术均成功，未出现血流动力学不稳定或重大并发症。该技术有可能降低腹主动脉瘤的发病率和死亡率。需要进一步改进使其适用于大多数动脉瘤。
