西藏地区腹主动脉瘤腔内隔绝修复术的中期随访结果分析

Analysis of midterm follow-up results of endovascular aortic repair for abdominal aortic aneurysm in Xizang region

目的分析西藏地区腹主动脉瘤(AAA)患者腔内隔绝修复手术的转归情况。方法收集2015年5月至2023年4月西藏自治区人民医院收治的31例AAA患者的临床资料,所有患者均进行了AAA腔内隔绝修复术。收集所有患者的基本特征、合并疾病、AAA最大直径、术前检查结果等信息,观察所有患者的治疗情况、围手术期并发症发生情况及随访结果。结果31例AAA患者中,美国麻醉医师协会(ASA)3级患者18例,4级患者7例。27例患者经双侧股动脉入路,4例患者经双侧股动脉和左侧肱动脉入路,手术成功率为100%。围手术期间1例患者出现臀肌跛行症状。随访时间为1~93个月。随访期间,失访2例,死亡2例,Ⅰ型内漏1例,Ⅱ型内漏1例。经随访,所有患者未发生支架移位、内漏等并发症。结论在西藏地区采用腔内隔绝修复术治疗AAA是安全、有效的。

Objective To present the outcome of endovascular aortic repair in patients with abdominal aortic aneurysm(AAA)in Xizang.Method The clinical data of 31 patients with AAA admitted to Xizang Autonomous Region People's Hospital from May 2015 to April 2023 were collected.All patients underwent endovascular aortic repair.Basic characteristics,comorbidity,maximum diameter of AAA,preoperative laboratory examination were collected,and the treatment status,incidence of perioperative complications,and follow-up results of all patients were observed.Result Among the 31 AAA patients,there were 18 American Society of Anesthesiologists(ASA)grade 3 patients and 7 ASA grade 4 patients.A total of 27 patients underwent bilateral femoral artery approach,while 4 patients underwent bilateral femoral artery and left brachial artery approach,with success rate of 100%.One patient experienced symptoms of gluteal muscle claudication during perioperative period.The follow-up period is 1-93 months,during the follow-up period,2 patients were lost to follow-up,2 patients died,1 patient of type I internal leakage,and 1 patient of type II internal leakage.After follow-up,no complications such as stent displacement or internal leakage occurred in all patients.Conclusion Endovascular aortic repair is safe and effective in the treatment of AAA in Xizang region.