Rousseau H, Soula P, Otal P, Colombier D, Leger P, Joffre F
Service de Radiologie, CHU Rangueil, Toulouse.
Ann Cardiol Angeiol (Paris). 1998 Jul-Sep;47(7):469-80.
Because of the risk and complications related to surgery of the aorta, the development of new, less invasive endovascular techniques has resulted in a certain enthusiasm for these new treatments on the part of physicians and industry. The insertion of aortic stents allows the treatment of almost one half of aneurysm of the infrarenal abdominal aorta and descending aorta. The results appear to demonstrate the medium-term reliability and efficacy of these new techniques with a lower morbidity-mortality rate than that of conventional surgery. However, preoperative and intraoperative imaging plays an essential role in the success of these new methods. Finally, although the medium-term results are encouraging, the long-term outcome of these new materials is unknown, which justifies close surveillance of these patients and prospective comparative studies.
由于与主动脉手术相关的风险和并发症，新型、侵入性较小的血管内技术的发展使医生和行业对这些新治疗方法产生了一定的热情。主动脉支架的植入可用于治疗近一半的肾下腹主动脉和降主动脉瘤。结果似乎表明这些新技术具有中期可靠性和有效性，其发病率和死亡率低于传统手术。然而，术前和术中成像对这些新方法的成功起着至关重要的作用。最后，尽管中期结果令人鼓舞，但这些新材料的长期效果尚不清楚，这证明对这些患者进行密切监测和前瞻性比较研究是合理的。
