开窗/分支支架全腔内修复胸腹主动脉疾病的并发症及其预防

Complications and prevention of fenestrated and branched endovascular aortic repair for thoracoabdominal aortic diseases

主动脉腔内修复术(EVAR)目前已成为主动脉病变的主流治疗手段, 但累及内脏动脉区的胸腹主动脉病变难以通过常规术式治疗。开窗/分支支架技术(F/B EVAR)采用完全腔内方法重建内脏动脉, 已被证实安全有效。然而, F/B EVAR技术相对复杂, 且存在多种并发症可能, 如何有效的处理、预防并发症是提高治疗效果及改善患者预后的关键。

Endovascular aortic repair(EVAR)has now become the mainstream treatment for thoracoabdominal aortic diseases,but thoracoabdominal aortic lesions involving visceral artery are difficult to treat with conventional EVAR methods.The fenestrated and branched endovascular aortic repair(F/B EVAR)technique,a total endovascular approach to reconstruct visceral arteries,has been proven to be safe and effective.However,the F/B EVAR technique is relatively complex and may have multiple complications.How to effectively manage and prevent complications is the key to improving treatment outcomes and prognosis of the patients.