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择期肾下型腹主动脉瘤腔内修复术后并发截瘫2例 被引量：3

Paraplegia secondary to selective endovascular repair of infrarenal abdominal aortic aneurysm:report of two cases
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摘要 临床资料病例1男，82岁。因“右侧腹部胀痛2周”入院。CTA发现右侧髂总动脉夹层动脉瘤．右侧髂总动脉起始部瘤样扩张，直径2cm，腔内见双腔征。髂总动脉夹层动脉瘤直径二倍于正常值，存在瘤体破裂风险，转入血管外科。既往慢性支气管炎病史12年（1年前慢性阻塞性肺疾病（COPD）急性加重住院治疗1、肺结核病史50余年.
作者 艾鹏 潘浩 陈魁 郑继行 邓超频 陈聪 符伟国 AI Peng;PAN Hao;CHEN Kui;ZHENG Jihang;DENG Chaopin;CHEN Cong;FUWeiguo(Department of Vascular Surgery, Second Affiliated Hospital and Yuying Children＇s Hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province 325027, Chin)
机构地区 温州医科大学附属第二医院、育婴儿童医院血管外科 复旦大学附属中山医院血管外科
出处 《介入放射学杂志》 CSCD 北大核心 2018年第7期688-690,共3页 Journal of Interventional Radiology
关键词 腹主动脉瘤 腔内修复术 截瘫 脊髓缺血 abdominal aortic aneurysm endovascular repair paraplegia spinal cord ischaemia
分类号 R575.2 [医药卫生—消化系统]
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  • 1EVAR trial participants. Endovascular aneurysm repair and outcome in patients unfit for open repair of abdominal aortic aneurysm (EVAR trial 2): randomised controlled trial [J]. Lancet, 2005, 365: 2187- 2192.
  • 2Hallett JW Jr, 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- 286.
  • 3Ten Bosch JA, Teijink JA, Willigendael EM, et al. Endovascular aneurysm repair is superior to open surgery for ruptured abdominal aortic aneurysms in EVAR-suitable patients [J ]. J Vasc Surg, 2010, 52:13 - 18.
  • 4Higashiura W, Nagata T, Tabayashi N, et al. Initial experience of branched endovascular graft for abdominal aortic aneurysm with complex anatomy of proximal neck : planning and technical considerations[J]. Jpn J Radiol, 2010, 28:66 - 74.
  • 5Egorova N, Giacovelli JK, Gelijns A, et al. Defining high-risk patients for endovascular aneurysm repair[J]. J Vase Surg, 2009, 50:1271 - 1279.
  • 6Lederle FA, Johnson GR, Wilson SE, et al. Prevalence and associations of abdominal aortic aneurysm detected through screening Aneurysm Detection and Management (ADAM) Veterans Affairs Cooperativ Study Group [J]. Ann Intern Med, 1997, 126:441 - 449.
  • 7Parodi JC, Palmaz JC, Barone HD, et al. Transfemoral intraluminal graft implantation for abdominal aortic aneurisms [J]. Ann Vasc Surg, 1991, 5:491 - 499.
  • 8Dake MD, Miller DC, 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.
  • 9EVAR trial participants. Endovaseular aneurysm repair versus open repair in patients with abdominal aortic aneurysm (EVAR trial 1 ) : Randomised controlled trial [J]. Lancet, 2005, 365 : 2179 - 2186.
  • 10Blankensteijn JD, de Jong SE, Prinssen M, et al: Two-year outcomes after conventional or endovascular repair of abdominal aortic aneurysms[J]. N Engl J Med, 2005, 352: 2398- 2405.

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介入放射学杂志
2018年 第7期

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