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腹主动脉瘤和胸腹主动脉瘤。

Abdominal and thoracoabdominal aortic aneurysm.

作者信息

Sternbergh W C, Gonze M D, Garrard C L, Money S R

机构信息

Section of Vascular Surgery, Ochsner Medical Institutions, New Orleans, Louisiana, USA.

出版信息

Surg Clin North Am. 1998 Oct;78(5):827-43, ix. doi: 10.1016/s0039-6109(05)70353-4.

DOI:10.1016/s0039-6109(05)70353-4
PMID:9891579
Abstract

Most abdominal aortic aneurysms (AAA) and thoracoabdominal aortic aneurysms (TAAA) are asymptomatic and are found on physical exam or incidentally during radiological studies for other indications. These aneurysms are repaired primarily because their risk of rupture increases geometrically as the size exceeds 5 cm. The potential morbidity of intraoperative visceral and spinal ischemia involved with TAAA repair may be reduced with various adjunctive maneuvers.

摘要

大多数腹主动脉瘤(AAA)和胸腹主动脉瘤(TAAA)是无症状的,在体格检查时发现,或在因其他指征进行影像学检查时偶然发现。这些动脉瘤主要是因为当大小超过5厘米时其破裂风险呈几何级数增加而进行修复。通过各种辅助措施,可降低TAAA修复术中涉及的内脏和脊髓缺血的潜在发病率。

相似文献

1
Abdominal and thoracoabdominal aortic aneurysm.腹主动脉瘤和胸腹主动脉瘤。
Surg Clin North Am. 1998 Oct;78(5):827-43, ix. doi: 10.1016/s0039-6109(05)70353-4.
2
Spinal cord protection for thoracic aortic surgery.胸主动脉手术中的脊髓保护
Cardiol Clin. 1999 Nov;17(4):807-13, x. doi: 10.1016/s0733-8651(05)70116-8.
3
[Surgical treatment of thoraco-abdominal aneurysm. Indications and results].[胸腹主动脉瘤的外科治疗。适应症及结果]
Chirurg. 1995 Sep;66(9):845-56.
4
Spinal cord protection in descending thoracic and thoracoabdominal aortic aneurysm repair.降胸段和胸腹主动脉瘤修复术中的脊髓保护
Semin Thorac Cardiovasc Surg. 1998 Jan;10(1):41-4. doi: 10.1016/s1043-0679(98)70016-4.
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Con: cerebrospinal fluid drainage does not protect the spinal cord during thoracoabdominal aortic reconstruction surgery.反对观点:在胸腹主动脉重建手术中,脑脊液引流并不能保护脊髓。
J Cardiothorac Vasc Anesth. 2002 Oct;16(5):650-2. doi: 10.1053/jcan.2002.126934.
6
Spinal cord protection in descending and thoracoabdominal aortic surgery--the role of distal perfusion.降主动脉和胸腹主动脉手术中的脊髓保护——远端灌注的作用
Thorac Cardiovasc Surg. 1996 Jun;44(3):136-9. doi: 10.1055/s-2007-1012002.
7
Hybrid approach to thoracoabdominal aortic aneurysms in patients with prior aortic surgery.既往接受过主动脉手术的患者胸腹主动脉瘤的杂交治疗方法。
J Vasc Surg. 2007 Jun;45(6):1128-35. doi: 10.1016/j.jvs.2006.10.057.
8
Pro: cerebrospinal fluid drainage protects the spinal cord during thoracoabdominal aortic reconstruction surgery.支持者观点:在胸腹主动脉重建手术中,脑脊液引流可保护脊髓。
J Cardiothorac Vasc Anesth. 2002 Oct;16(5):643-9. doi: 10.1053/jcan.2002.126933.
9
Surgical repair of thoracoabdominal aortic aneurysms.胸腹主动脉瘤的外科修复术。
J Cardiovasc Surg (Torino). 2007 Feb;48(1):49-58.
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Off-the-shelf multibranched endograft for urgent endovascular repair of thoracoabdominal aortic aneurysms.用于胸腹主动脉瘤紧急血管内修复的现成多分支血管内支架移植物。
J Vasc Surg. 2017 Sep;66(3):696-704.e5. doi: 10.1016/j.jvs.2016.12.129. Epub 2017 Mar 31.

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