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腹主动脉腔内修复术后内漏的原因分析及处理 被引量：1

Causes and management of endoleaks after endovascular repair of abdominal aortic aneurysm
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摘要 腹主动脉腔内修复术(endovascular aortic repair,EVAR)是目前治疗腹主动脉瘤的重要手段,和传统的开放手术相比可提高患者的早期生存率[1]。内漏是血管腔内修复术特有且最常见的并发症,对手术效果及患者预后均有影响,是目前EVAR治疗腹主动脉瘤的难点。根据术后瘤腔血流来源,可将内漏分为Ⅰ~Ⅴ型[2]。本文将对各型内漏发生的原因及相应的处理作一论述。
作者 姚陈 莫瑾青 Yao Chen;Mo Jinqing
机构地区 血管疾病诊治技术国家地方(广东)联合工程实验室、中山大学附属第一医院血管外科
出处 《中国血管外科杂志（电子版）》 2023年第3期202-208,共7页 Chinese Journal of Vascular Surgery(Electronic Version)
关键词 主动脉腔内修复术 腹主动脉瘤 内漏 血管腔内修复术 传统的开放手术 AORTIC 发生的原因 EVAR
分类号 R654.3 [医药卫生—外科学]
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  • 1Thompson SG, Ashton HA, Gao L, Buxton MJ, Scott RA, Multicentre Aneurysm Screening Study (MASS) Group. Final follow-up of the Multicentre Aneurysm Screening Study (MASS) randomized trial of abdominal aortic aneurysm screening. Br J Surg 2012;99:1649-56.
  • 2Nordon IM, Hinchliffe RJ, Loftus IM, Thompson MM. Pathophysiology and epidemiology of abdominal aortic aneurysms. Nat Rev Cardiol 2011;8:92-102.
  • 3Moll FL, Powell JT, Fraedrich G, Verzini F, Haulon S, Waltham M, et al. Management of abdominal aortic aneurysms clinical practice guidelines of the European society for vascular surgery. Eur J Vasc Endovasc Surg 2011;41 Suppl 1:S1-58.
  • 4Lederle FA, Freischlag JA, Kyriakides TC, Matsumura JS, Padberg FT Jr, Kohler TR, et al. Long-term comparison of endovascular and open repair of abdominal aortic aneurysm. N Engl J Med 2012;367:1988-97.
  • 5Mehta M, Byrne J, Darling RC 3 rd , Paty PS, Roddy SP, Kreienberg PB, et al. Endovascular repair of ruptured infrarenal abdominal aortic aneurysm is associated with lower 30-day mortality and better 5-year survival rates than open surgical repair. J Vasc Surg 2013;57:368-75.
  • 6Reimerink JJ, Hoornweg LL, Vahl AC, Wisselink W, van den Broek TA, Legemate DA, et al. Endovascular repair versus open repair of ruptured abdominal aortic aneurysms : A multicenter randomized controlled trial. Ann Surg 2013;258:248-56.
  • 7Grande W, Stavropoulos SW. Treatment of complications following endovascular repair of abdominal aortic aneurysms. Semin Intervent Radiol 2006;23:156-64.
  • 8Cantisani V, Ricci P, Grazhdani H, Napoli A, Fanelli F, Catalano C, et al. Prospective comparative analysis of colour-Doppler ultrasound, contrast-enhanced ultrasound, computed tomography and magnetic resonance in detecting endoleak after endovascular abdominal aortic aneurysm repair. Eur J Vasc Endovasc Surg 2011;41:186-92.
  • 9Henao EA, Hodge MD, Felkai DD, McCollum CH, Noon GP, Lin PH, et al. Contrast-enhanced Duplex surveillance after endovascular abdominal aortic aneurysm repair : Improved efficacy using a continuous infusion technique. J Vasc Surg 2006;43:259-64.
  • 10Perini P, Sediri I, Midulla M, Delsart P, Mouton S, Gautier C, et al. Single-centre prospective comparison between contrast-enhanced ultrasound and computed tomography angiography after EVAR. Eur J Vasc Endovasc Surg 2011;42:797-802.

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中国血管外科杂志（电子版）
2023年 第3期

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