GORE EXCLUDER覆膜支架在腹主动脉瘤腔内修复术中的临床应用

Endovascular repair of abdominal aortic aneurysm with GORE EXCLUDER stent grafts

目的：探讨GORE EXCLUDER覆膜支架腔内修复治疗腹主动脉瘤的疗效.方法：回顾性分析自2012年1月至2013年5月,采用GORE EXCLUDER覆膜支架行腹主动脉瘤腔内修复术的21例患者,其中男性19例,女性2例,年龄48 ～ 84岁,平均（68.9±9.9）岁.21例均为肾下型腹主动脉瘤,术后1,3,6及12个月之后,每年行主动脉CTA复查.结果：21例均成功置入GORE EXCLUDER覆膜支架,技术成功率100％；共置入主体覆膜支架21枚,对侧分支支架21枚,延长支6枚,Cuff支架1枚.主体覆膜支架直径23 ～31 mm,长度为120 ～ 180 mm,平均（152-±20.7）mm; 16例封闭一侧髂内动脉,5例保留双侧髂内动脉.围手术期无死亡病例及严重并发症发生；随访3 ～15个月,未见支架移位及内漏发生.结论：GORE EXCLUDER腔内修复肾下腹主动脉瘤近、中期效果良好.

Objective ： To explore the efficiency of endovascular treatment for abdominal aortic aneurysm with GORE EXCLUDER stent grafts. Methods： A retrospective analysis of 21 patients [ 19 men, mean age （68. 9± 9. 9 ） years old ] with abdominal aortic aneurysms （AAAs） repaired with GORE EXCLUDER stent grafts between January 2012 and May 2013 was conducted. All 2l AAAs were infrarenal, Follow-up was per- formed at postoperative 1,3,6,12 months and yearly thearafter. Results： Primary technical success was a- chieved in all patients. 21 main bodies were implanted, with diameter ranging from 23mm to 31 mm and length ranging from 120 to 180 ram, avarage （152 ± 20. 7 ）ram. Other implanted stent-grafts included 21 contralateral iliac stent-grafts, 6 extenders and 1 Cuff stert-graft. Unilateral internal iliac artery was excluded in 16 patients and bilateral were kept in 5 patients. There was no perioperative death or other complications. After follow-up 3 to 15 months, there was no endoleak or stent-graft migration. Conclusion： Endovascular repair of abdominal aortic aneurysms with GORE EXCLUDER stent grafts showed good short-term and mid-term results.