Batt M, Delcourt A, Michiels J F, Hassen-Khodja R, Declemy S, Bariseel H, Le Bas P
Service de Chirurgie Vasculaire, Hôpital République, Nice.
J Mal Vasc. 1996;21 Suppl A:53-7.
Despite the increasing use of tube grafts to treat aortic aneurysms, bifurcated prostheses remain the most frequent solution. Advocates of the tube graft emphasize faster positioning and lower operative morbidity and mortality rates. However, the condition of the aortic orifice (where atheromatous lesions are maximal) and the aneurysmal or occlusive iliac disease frequently associated with aortic aneurysms usually require use of a bifurcation prosthesis for complete treatment of aortoiliac lesions.
尽管用于治疗主动脉瘤的管状移植物的使用越来越多,但分叉型假体仍然是最常用的解决方案。管状移植物的支持者强调其定位更快,手术发病率和死亡率更低。然而,主动脉口(动脉粥样硬化病变最严重的部位)的状况以及通常与主动脉瘤相关的动脉瘤性或闭塞性髂血管疾病,通常需要使用分叉型假体来完全治疗主髂血管病变。