Panayiotopoulos Y P, Sandison A J, Reidy J F, Adam A, Taylor P R
Department of Surgery, UMDS, Guy's Hospital, London, U.K.
Eur J Vasc Endovasc Surg. 1996 Nov;12(4):482-6. doi: 10.1016/s1078-5884(96)80018-9.
Emergency repair of ruptured abdominal aortic aneurysm continues to have a high mortality. Such patients require expeditious operations to repair the ruptured segment rather than attempts to deal with all coexisting disease. The use of endovascular techniques obviates the need for open surgery to repair iliac aneurysms. We report two patients who, after successful repair of ruptured abdominal aortic aneurysms, had three iliac artery aneurysms treated successfully by embolisation in one case and percutaneous insertion of a self expandable stent graft in two cases. The issues that arise from such an approach are discussed with a review of the literature.
腹主动脉瘤破裂的急诊修复死亡率仍然很高。这类患者需要迅速进行手术修复破裂部位，而不是试图处理所有并存的疾病。血管内技术的应用避免了通过开放手术修复髂动脉瘤的必要性。我们报告了两名患者，他们在成功修复腹主动脉瘤破裂后，一例通过栓塞成功治疗了三处髂动脉瘤，两例通过经皮插入自膨式支架移植物成功治疗。本文结合文献复习讨论了这种治疗方法所引发的问题。
