摘要
目的 探讨腔内隔绝术 (EVE)治疗瘤颈扭曲大于 6 0°腹主动脉瘤 (AAA)的安全性和可行性。从而扩大治疗AAA的适用范围。方法 对瘤颈扭曲大于 6 0°的AAA通过技术改进 (术中对瘤颈进行捆扎或置入Cuff) ,然后实施EVE。结果 对瘤颈扭曲大于 6 0°的AAA成功地实施了EVE ,术后复查彩超、CTA、MRA证实 :瘤体被完全隔绝 ,支架无移位、扭曲及内漏现象。结论 EVE是一种治疗瘤颈扭曲大于 6 0°的AAA简便可行的方法 ,其主要特点是安全、微创、简捷 ,特别适于合并多种并存病的年老体弱患者。
Objective To study the possibility and the feasibility of endovascular exclusion (EVE) in treating abdominal aortic aneurysm (AAA) and expanding its application extent. Methods Perform a modified technical procedure for AAA with neck bigger than sixty degree through bundle up or put in Cuff manoeuvre and follow by EVE. Results AAA with neck bigger than sixty degree are completely excluded after the procedure revealing under color duplex scan, CTA, MRA with confirmations of the stent stability torsionlessness and no endo-leak. Conclusions It is a safe, feasible method for EVE to treat AAA with neck bigger than sixty degree. Its characteristic mini-trauma is specially suitable for the old and weak patients.
出处
《介入放射学杂志》
CSCD
2003年第4期257-258,共2页
Journal of Interventional Radiology
基金
国家"十五"攻关课题
军队杰出人才基金 (编号98J0 0 5 )
上海市科委及上海市卫生系统百人计划基金 (编号97BR0 47)资助课题
