应用跨肾动脉支架人工血管腔内修复术治疗腹主动脉瘤

Super renal Stent Graft for Endovascular Repair of Abdominal Aortic Aneurysm

目的 :应用跨肾动脉支架人工血管腔内修复术治疗腹主动脉瘤 ,并探讨其手术适应证 ,操作要点及并发症的预防。方法 :采用全麻 ,在动态数字式减影血管造影 (DSA)监测下用跨肾动脉支架分叉型人工血管对腹主动脉瘤进行腔内修复术。结果 :术中数字式减影血管造影提示动脉瘤消失 ,没有内漏存在。术后 1周螺旋 CT检查提示腔内人工血管无移位扭曲 ,血流通畅无内漏发生。结论 :腹主动脉瘤腔内修复术手术创伤小 ,病人恢复快。跨肾动脉支架人工血管具有固定牢靠 。

Objective:Our purpose was to report super renal stent graft for endovascular repair of abdominal aortic aneurysm. The indications,procedures,and prevention of complication were also discussed.Methods:Under general anesthesia condition,super renal bifurcation stent graft for endovascular repair of abdominal aortic aneurysm was performed.Results:Angiography showed that abdominal aortic aneurysm disappeared and no endoleak occurred during operation. Postoperative spiral CT showed that there were no graft migration and no endoleak.Conclusion:Endovascular repair of abdominal aortic aneurysm was little invasive. The super renal graft had advantage of fix well,prevention of migration and endoleak.