[1]李振江,陆清声,周 建,等.烟囱技术治疗近肾腹主动脉瘤的Meta分析[J].介入放射学杂志,2015,(01):22-28.
 LI Zhen jiang,LU Qing sheng,ZHOU Jian,et al.Evaluation of “chimney” technique in treating juxtarenal aortic aneurysms: a meta analysis[J].journal interventional radiology,2015,(01):22-28.
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烟囱技术治疗近肾腹主动脉瘤的Meta分析 ()

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

卷:
期数:
2015年01期
页码:
22-28
栏目:
血管介入
出版日期:
2015-01-25

文章信息/Info

Title:
Evaluation of “chimney” technique in treating juxtarenal aortic aneurysms: a meta analysis
作者:
李振江 陆清声 周 建 景在平
Author(s):
LI Zhen jiang LU Qing sheng ZHOU Jian JING Zai ping.
Department of Vascular Surgery, Changhai Hospital, Second Military Medical University, Shanghai 200433, China
关键词:
【关键词】 近肾腹主动脉瘤 腹主动脉瘤腔内修复 烟囱技术
文献标志码:
A
摘要:
【摘要】 目的 系统评价应用“烟囱”技术治疗近肾腹主动脉瘤的安全性及有效性。方法 收集2003年—2014年已发表的关于应用烟囱技术腔内修复近肾腹主动脉瘤,同时保留内脏分支动脉的文献,回顾性分析技术成功率、血管通畅率、内漏发生率、并发症及病死率等近中期临床结果。结果 共纳入12篇文献的277例近肾腹主动脉瘤患者,技术成功率为93%,早期Ⅰ型内漏率为6%,脑卒中和心肌梗死的发生率均为3.90%;平均随访时间为13.6个月,血管通畅率为98%,共35例患者出现随访期内漏(Ⅰ型内漏10例,Ⅱ型内漏25例,无Ⅲ型内漏),随访期Ⅰ型内漏率为2%,肾功能损害发生率为12%,30 d病死率和随访期病死率分别为2.89%和8.38%。结论 应用烟囱技术治疗近肾腹主动脉瘤技术成功率较高,并发症率及病死率较低。

参考文献/References:

[1] Jongkind V, Yeung KK, Akkersdijk GJ, et al. Juxtarenal aortic aneurysm repair[J]. J Vasc Surg, 2010, 52: 760 767.
[2] Beck AW, Goodney PP, Nolan BW, et al. Predicting 1 year mortality after elective abdominal aortic aneurysm repair[J]. J Vasc Surg, 2009, 49: 838 843.
[3] Hallett JW, Marshall DM, Petterson TM, et al. Graft related complications after abdominal aortic aneurysm repair: reassurance from a 36 year population based experience[J]. J Vasc Surg, 1997, 25: 277 284.
[4] Amiot S, Haulon S, Becquemin JP, et al. Fenestrated endovascular grafting: the French multicentre experience[J]. Eur J Vasc Endovasc Surg, 2010, 39: 537 544.
[5] Verhoeven EL, Tielliu IF, Bos WT, et al. Present and future of branched stent grafts in thoraco abdominal aortic aneurysm repair: a single centre experience[J]. Eur J Vasc Endovasc Surg, 2009, 38: 155 161.
[6] Donas KP, Pecoraro F, Torsello G, et al. Use of covered chimney stents for pararenal aortic pathologies is safe and feasible with excellent patency and low incidence of endoleaks[J]. J Vasc Surg, 2012, 55: 659 665.
[7] Scali ST, Feezor RJ, Chang CK, et al. Critical analysis of results after chimney endovascular aortic aneurysm repair raises cause for concern[J]. J Vasc Surg, 2014, 60: 865 874.e1.
[8] Banno H, Cochennec F, Marzelle J, et al. Comparison of fenestrated endovascular aneurysm repair and chimney graft techniques for pararenal aortic aneurysm[J]. J Vasc Surg, 2014, 60: 31 39.
[9] Lee JT, Varu VN, Tran K, et al. Renal function changes after snorkel/chimney repair of juxtarenal aneurysms[J]. J Vasc Surg, 2014, 60: 563 570.
[10] Ducasse E, Lepidi S, Brochier C, et al. The “open” chimney graft technique for juxtarenal aortic aneurysms with discrepant renal arteries[J]. Eur J Vasc Endovasc Surg, 2014, 47: 124 130.
[11] Larzon T, Eliasson K, Gruber G. Top fenestrating technique in stentgrafting of aortic diseases with mid term follow up[J]. J Cardiovasc Surg (Torino), 2008, 49: 317 322.
[12] Tolenaar JL, Zandvoort HJ, Moll FL, et al. Technical considerations and results of chimney grafts for the treatment of juxtarenal aneursyms[J]. J Vasc Surg, 2013, 58: 607 615.
[13] Schiro A, Antoniou GA, Ormesher D, et al. The chimney technique in endovascular aortic aneurysm repair: late ruptures after successful single renal chimney stent grafts[J]. Ann Vasc Surg, 2013, 27: 835 843.
[14] Hiramoto JS, Chang CK, Reilly LM, et al. Outcome of renal stenting for renal artery coverage during endovascular aortic aneurysm repair[J]. J Vasc Surg, 2009, 49: 1100 1106.
[15] Suominen V, Pimenoff G, Salenius J. Fenestrated and chimney endografts for juxtarenal aneurysms: early and midterm results [J]. Scand J Surg,2013,102,182 188.
[16] Ohrlander T, Sonesson B, Ivancev K, et al. The chimney graft: a technique for preserving or rescuing aortic branch vessels in stent graft sealing zones[J]. J Endovasc Ther, 2008, 15: 427 432.
[17] Liu B, Pan H, Song X, et al. Chimney stents for endovascular repair of juxtarenal aortic aneurysms with unfavourable anatomy[J]. Int Angiol, 2013, 32: 307 311.
[18] Greenberg RK, Clair D, Srivastava S, et al. Should patients with challenging anatomy be offered endovascular aneurysm repair[J]. J Vasc Surg, 2003, 38, 990 996.
[19]张 韬, 贾 鑫, 刘 杰, 等. 近端锚定区不良的腹主动脉瘤腔内治疗方案选择及疗效评价[J]. 中华医学杂志, 2012, 92: 3329 3332.
[20] 李 伟, 张小明, 蒋京军, 等. “烟囱”技术在Ⅲ型夹层动脉瘤和腹主动脉瘤腔内修复术中的应用[J]. 中华普通外科杂志, 2012, 27: 137 140.
[21] Moulakakis KG, Mylonas SN, Avgerinos E, et al. The chimney graft technique for preserving visceral vessels during endovascular treatment of aortic pathologies[J]. J Vasc Surg, 2012, 55: 1497 1503.
[22] Knott AW, Kalra M, Duncan AA, et al. Open repair of juxtarenal aortic aneurysms (JAA) remains a safe option in the era of fenestrated endografts[J]. J Vasc Surg, 2008, 47: 695 701.
[23] Chong T, Nguyen L, Owens CD, et al. Suprarenal aortic cross clamp position: a reappraisal of its effects on outcomes for open abdominal aortic aneurysm repair[J]. J Vasc Surg, 2009, 49: 873 880.
[24] Sarac TP, Clair DG, Hertzer NR, et al. Contemporary results of juxtarenal aneurysm repair[J]. J Vasc Surg, 2002, 36: 1104 1111.
[25] West CA, Noel AA, Bower TC, et al. Factors affecting outcomes of open surgical repair of pararenal aortic aneurysms: a 10 year experience[J]. J Vasc Surg, 2006, 43: 921 927.

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备注/Memo

备注/Memo:
(收稿日期:2014-08-03)
(本文编辑:李 欣)
更新日期/Last Update: 2015-01-26