[1]赵臖,张玉春.封堵器联合覆膜支架和弹簧圈治疗胸腔内锁骨下动脉瘤[J].介入放射学杂志,2008,(04):277.
　ZHAO Jun,ZHANG Yuchun.Occluder combined with covered stent－graft and steel coil for the treatment of intra－thoracic subclavain arterial aneurysm[J].journal interventional radiology,2008,(04):277.
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封堵器联合覆膜支架和弹簧圈治疗胸腔内锁骨下动脉瘤()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2008年04期
页码:
277
栏目:
临床研究
出版日期:
2008-04-15

文章信息/Info

Title:
Occluder combined with covered stent－graft and steel coil for the treatment of intra－thoracic subclavain arterial aneurysm
作者:
赵臖; 张玉春
２００２３３上海交通大学附属第六人民医院血管外科（赵珺）；山东省临沂市人民医院心外科（张玉春）
Author(s):
ZHAO Jun; ZHANG Yu－chun．
Shagnhai６th People's Hospital，Shanghai Jiaotong University，Shanghai２００２３３，China
关键词:
锁骨下动脉; 动脉瘤; 假性; 主动脉; 胸; 覆膜支架; 封堵器; 弹簧圈
分类号:
R５４３.５
文献标志码:
A
摘要:
目的探讨用封堵器联合覆膜支架和弹簧圈治疗临近主动脉弓的锁骨下假性动脉瘤的价值。方法经左侧肱动脉通路将室间隔封堵器植于锁骨下动脉起始段，封堵动脉瘤入口；经股动脉通路植入覆膜支架加强封堵效果；再经左侧肱动脉通路以弹簧钢圈封闭假性动脉瘤出口。结果左锁骨下动脉假性动脉瘤入口、开口完全封闭，无内漏，无脑部症状，上肢无明显缺血表现。结论封堵器联合覆膜支架和钢圈的“三介入法”治疗临近主动脉弓的左锁骨下动脉假性动脉瘤，具有微创操作、封闭彻底、机械结构稳定、手术安全性高等优点。

参考文献/References:

［１］Niinami H，Aomi S，Chikazawa G，et al．Progress in the treatment of aneurysms of the distal aortic arch：approach through median sternotomy ［J］．J Cardiovasc Surg（Torino），２００３，４４：２４３－２４８．
［２］Dake MD，Miller MC，Semba CP，et al．Transluminal placement of endovascular stent－grafts for the treatment of descending thoracic aortic aneurysms ［J］．N Engl J Med，１９９４，３３１：１７２９－１７３４．
［３］赵珺．胸主动脉夹层动脉瘤腔内隔绝术中多种移植物应用体会［J］．中国医学影像技术，２００１，１７：１１３８．
［４］Inoue K，Sato M，Iwase T，et al．Clinical endovascular place－ment of branched graft for type B aortic dissection［J］．J Thoracic Cardiovasc Surg，１９９６，１１２：１１１１－１１１３．
［５］Bergeron P，Coulon P，De Chaumaray T，et al．Great vessels transposition and aortic arch exclusion［J］．J Cardiovasc Surg，２００５，１４６：１４１－１４８．

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备注/Memo

备注/Memo:
收稿日期：２００７－０６－２９
更新日期/Last Update: 2008-04-15