[1]禹纪红,黄连军,蒋世良,等.腔内隔绝术治疗高风险腹主动脉瘤[J].介入放射学杂志,2010,(04):287.
 YU Jihong,HUANG Lianjun,JIANG Shiliang,et al.Endoluminal grafting for abdominal aortic aneurysms in high-risk patients[J].journal interventional radiology,2010,(04):287.
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2010年04期
页码:
287
栏目:
血管介入
出版日期:
2010-04-15

文章信息/Info

Title:
Endoluminal grafting for abdominal aortic aneurysms in high-risk patients
作者:
禹纪红黄连军蒋世良
100037北京协和医学院,中国医学科学院,阜外心血管病医院,放射科
Author(s):
YU Ji-hongHUANG Lian-junJIANG Shi-liangJIN Jing-linSUN Li-zhong.
Fuwai Hospital&Cardiovascular Institute,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing100037,China
关键词:
腹主动脉支架腔内的内漏
分类号:
R543.1
摘要:
目的评价腔内隔绝术治疗外科高风险腹主动脉瘤(AAA)的疗效及安全性。方法51例AAA患者行腔内隔绝术。按国际血管外科/心血管外科(SVS/ISCVS)手术风险评估方法分级,1级(较低风险)30例,2~3级(高风险)21例。根据术前CT及DSA资料合理选择支架。术后定期临床及CT影像随访,观察并发症及瘤体形态学变化。结果覆膜支架均顺利置入,技术成功率100%,术中及术后30d无死亡。所有患者术后平均随访(29.1±20.5)个月,死亡1例(术后36d),死因不详。主要并发症5例(9.8%),包括分支支架内血栓形成2例,股动脉切口局部并发症2例(血栓形成及淋巴管瘘),支架单臂脱位导致内漏增多1例。术后少量内漏10例(19.6%),其中5例随访期自行消失。结论腔内隔绝术治疗AAA,特别是外科高风险患者,近中期疗效满意

参考文献/References:

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备注/Memo

备注/Memo:
收稿日期:2009-12-02
更新日期/Last Update: 2010-04-15