Woodburn K R, May J, White G H
Department of Vascular Surgery, Royal Prince Alfred Hospital, University of Sydney, Australia.
Br J Surg. 1998 Apr;85(4):435-43. doi: 10.1046/j.1365-2168.1998.00775.x.
The development of devices designed for the endoluminal repair of abdominal aortic aneurysm has led to the emergence of new endovascular techniques.
Articles and case reports obtained from a Medline search of the English language literature from 1989 to 1997 are reviewed. This search was carried out using the MeSH heading 'aortic aneurysm, abdominal' and the keywords 'endovascular' and 'endoluminal'.
Reported mortality and complication rates for endoluminal aneurysm repair are similar to those following conventional repair, with the exception of continued perfusion of the aneurysm sac which remains a major problem following endoluminal repair.
Successful endoluminal aneurysm exclusion is associated with reduced aneurysm diameter. However, longer term results of endoluminal repair, in particular of sealed endoleaks, are required before randomized controlled trials of endoluminal versus conventional repair can be undertaken.
用于腹主动脉瘤腔内修复的器械的发展导致了新的血管内技术的出现。
回顾了1989年至1997年从Medline搜索英文文献获得的文章和病例报告。该搜索使用医学主题词“腹主动脉瘤”以及关键词“血管内”和“腔内”进行。
腔内动脉瘤修复的报告死亡率和并发症发生率与传统修复后的相似，但动脉瘤囊的持续灌注是腔内修复后仍然存在的主要问题。
成功的腔内动脉瘤排除与动脉瘤直径减小有关。然而，在进行腔内修复与传统修复的随机对照试验之前，需要腔内修复的长期结果，特别是密封内漏的结果。
