Lee A M, Rockman C B, Riles T S, Rosen R J, Lamparello P J, Landis R
Division of Vascular Surgery, Department of Surgery, New York University Medical Center, New York, NY.
Ann Vasc Surg. 1999 Jan;13(1):60-6. doi: 10.1007/s100169900221.
The purpose of this study was to review a single-institution experience with the Endovascular Technologies [(EVT) Menlo Park, CA] transfemoral, endovascular system of abdominal aortic aneurysm repair. This study was performed at a medical center participating in the phase 1 and phase 2 evaluations of the EVT device. We reviewed the 25 cases performed at our institution. The patient population consisted of 21 males (84%) and 4 females (16%), with a mean age of 73.4 years. A total of eight tube grafts (32%) and 17 bifurcated grafts (68%) were attempted. Twenty-two of the twenty-five grafts were successfully implanted endovascularly (88%). Implantation failures were due to tortuosity or inadequate caliber of the iliac arteries, or incorrect positioning of the graft. The results show that endovascular repair of abdominal aortic aneurysms is an appropriate treatment for selected patients. Conversions to open repair have decreased as experience has grown; careful patient selection can minimize the number of unsuccessful implantations. Patient selection and accurate technique can also minimize the number of endoleaks.
本研究旨在回顾单一机构使用血管内技术公司（位于加利福尼亚州门洛帕克市）的经股动脉腹主动脉瘤修复血管内系统的经验。本研究在一家参与该血管内技术公司设备1期和2期评估的医疗中心进行。我们回顾了在我们机构进行的25例病例。患者群体包括21名男性（84%）和4名女性（16%），平均年龄为73.4岁。共尝试植入8个直管型移植物（32%）和17个分叉型移植物（68%）。25个移植物中有22个成功进行了血管内植入（88%）。植入失败的原因是髂动脉迂曲或管径不足，或移植物定位不正确。结果表明，腹主动脉瘤的血管内修复是部分选定患者的合适治疗方法。随着经验的积累，转为开放修复的情况有所减少；仔细的患者选择可将不成功植入的数量降至最低。患者选择和精确技术也可将内漏的数量降至最低。
