Düber C, Schmiedt W, Pitton M, Neufang A, Eberle B, Wollmann J C, Oelert H, Thelen M
Klinik und Poliklinik für Radiologie, Johannes Gutenberg-Universität, Mainz.
Rofo. 1996 Jan;164(1):55-61. doi: 10.1055/s-2007-1015608.
A clinical study aiming at examining the implantation technique and the clinical results of a new vascular prosthesis in endovascular therapy of aneurysms of the aorta.
In 21 patients (20 men of 55 to 87 years of age, average age 70 years) with aneurysms of the infrarenal abdominal aorta (AAA n = 19) and the thoracic aorta (n = 2), a self-expanding nitinol stent with outer Dacron sheath (tubular prosthesis n = 4; bifurcation prosthesis n = 17) was implanted by means of an F-18 introductory set after surgical opening of the inguinal artery.
By means of the 4 tubular prostheses and 13 of the 17 bifurcation prostheses the aneurysm was bypassed completely. In 4 cases residual perfusion through leaks (n = 3) or collateral blood supply (n = 1) was seen. In 6 patients 7 complications occurred which did not require to be operated on. No patient died in consequence of the surgical intervention or during the hospital stay. Follow-ups up to 8 months after surgery did not reveal any late complications to date.
Endovascular implantation of vascular prostheses is a promising new method for interdisciplinary treatment of aneurysms of the aorta.
一项临床研究，旨在探讨一种新型血管假体在主动脉瘤血管内治疗中的植入技术及临床效果。
对21例患者（20例男性，年龄55至87岁，平均年龄70岁）进行研究，其中19例为肾下腹主动脉瘤，2例为胸主动脉瘤。通过腹股沟动脉手术切开后，使用F - 18导入套件植入带有外部涤纶护套的自膨胀镍钛诺支架（管状假体4例；分叉假体17例）。
通过4个管状假体和17个分叉假体中的13个，动脉瘤被完全绕过。4例患者中，可见通过渗漏（3例）或侧支供血（1例）的残余灌注。6例患者出现7种并发症，但无需手术治疗。无患者因手术干预或住院期间死亡。术后长达8个月的随访至今未发现任何晚期并发症。
血管假体的血管内植入是主动脉瘤跨学科治疗中一种有前景的新方法。
