短瘤颈腹主动脉瘤腔内修复治疗术的研究进展

doi:10.3760/cma.j.issn.1007-1245.2023.05.002

国际医药卫生导报 ›› 2023, Vol. 29 ›› Issue (5): 597-601.DOI: 10.3760/cma.j.issn.1007-1245.2023.05.002

短瘤颈腹主动脉瘤腔内修复治疗术的研究进展

薛明¹ 夏林述鑫² 金星³

¹威海市立医院介入科，威海　264200；²山东大学第二医院心血管外科，济南　250021；³山东第一医科大学附属省立医院血管外科，济南　250021

收稿日期:2022-10-18 出版日期:2023-03-01 发布日期:2023-03-28
通讯作者: 金星，Email：jinxing_888@163.com
基金资助:
山东省自然科学基金面上项目（ZR2021MH281）

Research progress of endovascular repair for abdominal aortic aneurysm of short neck

Xue Ming¹, Xia Linshuxin², Jin Xing³

¹Department of Interventional Radiology, Weihai Municipal Hospital, Weihai 264200, China; ²Department of Cardiovascular Surgery, The Second Hospital of Shandong University, Jinan 250021, China; ³Department of Vascular Surgery, Provincial Hospital Affiliated to Shandong First Medical University, Jinan 250021, China

Received:2022-10-18 Online:2023-03-01 Published:2023-03-28
Contact: Jin Xing, Email: jinxing_888@163.com
Supported by:
Natural Science Foundation of Shandong Province (ZR2021MH281)

摘要/Abstract

摘要：

我国近十年来，腹主动脉瘤（abdominal aortic aneurysm，AAA）的腔内治疗需求不断增加，引起了临床医师和患者的广泛关注。然而，对于具有复杂解剖结构、不同长度、角度的瘤颈或移植物边界铆定区的“复杂”动脉瘤的有效修复方法还未得到充分研究。此外，血管内修复技术在情况复杂的动脉瘤紧急修复中发挥的具体作用还不清楚。因此许多先进的血管内技术和设备已经被开发出来，以规避以上问题，这些包括开窗内移植物以及个性化定制的开窗内移植物；浮潜程序，如烟囱、潜望镜和夹层技术；分支支架装置等。本文综述目前血管内修复技术针对复杂的短瘤颈AAA分别所适用的病例以及每种技术的优势和劣势。

关键词:

腹主动脉瘤, 腔内修复, 开窗内移植物, 短瘤颈

Abstract:

In recent ten years in China, the increasing demand of endovascular repair for abdominal aortic aneurysm (AAA) has aroused wide concern from clinicians and patients. However, effective repair methods for "complex" aneurysms with complex anatomical structures and different lengths and angles of tumor neck or graft border riveting areas have not been fully studied. In addition, the specific role of endovascular repair technique in the emergency repair of complex aneurysms remains unclear. As a result, many advanced endovascular technologies and devices have been developed to circumvent these problems. These include fenestrated and customized fenestrated grafts; snorkeling programs such as chimney, periscope, and sandwich techniques; branch support device, etc. This paper describes the current use of endovascular repair techniques for complex short cervical AAA and the advantages and disadvantages of each technique.

Key words:

Abdominal aortic aneurysm, Endovascular repair, Fenestrated grafts, Short neck

薛明夏林述鑫金星.

短瘤颈腹主动脉瘤腔内修复治疗术的研究进展 [J]. 国际医药卫生导报, 2023, 29(5): 597-601.

Xue Ming, Xia Linshuxin, Jin Xing.

Research progress of endovascular repair for abdominal aortic aneurysm of short neck [J]. International Medicine and Health Guidance News, 2023, 29(5): 597-601.

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短瘤颈腹主动脉瘤腔内修复治疗术的研究进展

Research progress of endovascular repair for abdominal aortic aneurysm of short neck

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