带膜支架腔内搭桥治疗动脉瘤六例报告

Endoluminal stent graft for aortic aneurysms: a report of six cases

目的 探讨带膜支架腔内治疗动脉瘤的临床应用疗效。方法 应用直筒状及分叉状带膜支架通过外科及血管介入技术对降主动脉瘤、腹主动脉瘤、髂动脉瘤共 6例患者进行腔内治疗。结果 6例 7个部位动脉瘤通过腔内介入治疗效果满意。 2例术后有延迟性发热。 1例术后 3个月复查发现瘤腔内有少量漏血。结论 动脉瘤的腔内治疗具有创伤小、恢复快、技术操作可行、效果肯定的优点。可以作为动脉瘤治疗的另一有效手段。尤其适合不能耐受传统手术的高危患者。

Objective To explore the clinical value of the treatment of aortic aneurysms with endovascular stent graft prostheses Methods Six patients were included in the study 4 patients with infrorenal abdominal aneurysms involving the aortic bifurcation and the common iliac arteries received bifurcated stent grafts; 1 patient with descending and abdominal aortic aneurysm received straight stent graft; and 1 patient with right common iliac artery aneurysm received straight stent graft After a unilateral surgical arteriotomy,the endoprostheses were advanced through the femoral arteries and placed under the guidance of fluoroscope CT and MRI were perfomed during the follow up of 2 16 months Results All patients got a primary success The aortic aneurysms were completely excluded from the circulation. Two cases had a prolonged fever; 1 case was found a leakage 3 months later Conclusion Our results suggest that endovascular treatment of aortic aneurysm is technically feasible and it can effectively exclude aortic aneurysms from the circulation With further refinement, endoluminal repair may emerge as an interventional strategy to treat infrarenal aortic aneurysm, especially for patients at high surgical risk