[1]陈宇 刘昌伟 郑月宏 李拥军 邵江 刘暴*.锁骨下动脉瘤的腔内治疗[J].中国微创外科杂志,2015,15(5):444-447.
　Chen Yu,Liu Changwei,Zheng Yuehong,et al.Endovascular Therapy for Subclavian Artery Aneurysm[J].Chinese Journal of Minimally Invasive Surgery,2015,15(5):444-447.
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锁骨下动脉瘤的腔内治疗()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
15
期数:
2015年5期
页码:
444-447
栏目:
短篇论著
出版日期:
2015-05-20

文章信息/Info

Title:
Endovascular Therapy for Subclavian Artery Aneurysm
作者:
陈宇 刘昌伟 郑月宏 李拥军 邵江 刘暴*
北京协和医院血管外科，北京100730
Author(s):
Chen Yu;  Liu Changwei;  Zheng Yuehong;  et al.
Department of Vascular Surgery, Peking Union Medical College Hospital of Chinese Academy of Medical Sciences, Beijing 100730, China
关键词:
锁骨下动脉; 动脉瘤; 腔内治疗
Keywords:
Subclavian artery; Aneurysm; Endovascular therapy
分类号:
R732.2+1
文献标志码:
A
摘要:
目的探讨锁骨下动脉瘤的腔内治疗价值。方法2012年1月~2014年3月腔内治疗锁骨下动脉瘤8例，其中真性动脉瘤6例，假性动脉瘤2例。5例行覆膜支架，1例行覆膜支架联合裸支架，1例行降主动脉支架联合弹簧栓栓塞，1例行多层裸支架。结果8例均顺利完成手术，无严重并发症。手术时间45~131 min,平均69.4 min;出血量10~120 ml，平均30.0 ml。8例随访6~26个月，平均15个月，7例瘤腔完全血栓化，1例多层裸支架随访12个月，瘤腔有内漏，但瘤体直径无增大。结论腔内技术是治疗锁骨下动脉瘤的一个可行方法，需要根据瘤体大小及与主动脉、颈动脉、椎动脉的空间位置综合选择术式。
Abstract:
ObjectiveTo evaluate the value and efficacy of endovascular therapy for subclavian artery aneurysm (SAA).MethodsFrom January 2012 to March 2014, endovascular therapy was performed in 8 cases of SAA (5 male and 3 female), including 6 cases of true aneurysm and 2 cases of false aneurysm. Among them, 5 cases were treated with covered stent, 1 case with covered stent plus bare stent, 1 case with thoracic covered stent plus coil embolism, and 1 case with multilayer stent.ResultsSuccessful implementation of stents was achieved in all the 8 cases and no severe complications happened. The mean operation time was 69.4 min (range, 45-131 min), and the mean blood loss was 30.0 ml (range, 10-120 ml). The mean length of followup was 15 months (range, 6-26 months). The aneurysm sac was completely thrombosed in 7 cases, while endoleak without enlargement of aneurysm happened in 1 case that was treated with multilayer stent.ConclusionEndovascular therapy is an optional therapy to treat SAA, and the choice of the treatment should be based on the size and location of the aneurysm.

参考文献/References:

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[4]Euringer W, Südkamp M, Rylski B, et al. Endovascular treatment of multiple HIVrelated aneurysms using multilayer stents. Cardiovasc Intervent Radiol，2012,35(4):945-949.
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备注/Memo

备注/Memo:
*通讯作者，E-mail:liubao72@aliyun.com
更新日期/Last Update: 2015-05-20