腹主动脉瘤腔内修复术后髂支闭塞治疗策略 的单中心经验

The treatment strategies of iliac branch occlusion after endovascular repair for abdominal aortic aneurysm:A single center experience

目的探讨腹主动脉瘤患者腹主动脉腔内修复术(endovascular aortic repair,EVAR)后髂支闭塞的原因和治疗策略。方法回顾性分析佛山市第一人民医院2010年1月至2022年1月收治的15例EVAR术后髂支闭塞的病例资料。结果14例患者采取手术治疗,技术成功率为100%;1例采取药物保守治疗,患者症状得到改善或消失。患者术后随访6~36个月,平均(20.3±6.8)个月,1例患者死于脑卒中,无再发髂支闭塞、截肢等严重不良事件发生。结论EVAR术后发生髂支闭塞并不少见。如发生髂支闭塞,需仔细分析原因并及时处理,综合患者情况选择合适的治疗方案。

Objective To explore the causes and treatment strategies of iliac branch occlusion after endovascular aortic repair(EVAR)for abdominal aortic aneurysm patients.Methods The clinical data of 15 patients with iliac branch occlusion after EVAR who were admitted to the First People's Hospital of Foshan from January 2010 to January 2022 were analyzed retrospectively.Results Fourteen patients were treated with surgery,and the technical success rate was 100%.One patient received conservative treatment.The symptoms of all patients were improved or disappeared.The patients were followed up for 6-36 months after operation,with an average of 20.3±6.8 months.One patient died of stroke,and no serious adverse events such as iliac branch occlusion and amputation occurred.Conclusion Iliac branch occlusion after EVAR is common.If iliac branch occlusion occurs,it is necessary to analyze the cause carefully and deal with it in time,and choose an appropriate treatment plan based on the patients’condition.