[1]李铁铮,韩晓峰,郭曦,等.腔内修复术中应用Viabahn支架重建肠系膜下动脉——2例报告[J].中国微创外科杂志,2016,16(12):1135-1139.
　Li Tiezheng,Han Xiaofeng,Guo Xi,et al.Application of Viabahn Stent-graft in Reconstruction of Inferior Mesenteric Artery During Endovascular Repair：A Report of 2 Cases[J].Chinese Journal of Minimally Invasive Surgery,2016,16(12):1135-1139.
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腔内修复术中应用Viabahn支架重建肠系膜下动脉——2例报告()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
16
期数:
2016年12期
页码:
1135-1139
栏目:
新技术新方法
出版日期:
2016-12-20

文章信息/Info

Title:
Application of Viabahn Stent-graft in Reconstruction of Inferior Mesenteric Artery During Endovascular Repair：A Report of 2 Cases
作者:
李铁铮; 韩晓峰; 郭曦; 刘光锐; 黄连军**
首都医科大学附属北京安贞医院介入诊疗科北京市心肺血管疾病研究所，北京100029
Author(s):
Li Tiezheng;  Han Xiaofeng;  Guo Xi;  et al.
Department of Diagnostic and Interventional Radiology, Beijing Anzhen Hospital, Capital Medical University, Beijing 100029, China
关键词:
腔内修复术; 肠系膜下动脉; Viabahn支架
Keywords:
Endovascular aortic repair; Inferior mesenteric artery; Viabahn stent
文献标志码:
B
摘要:
2015年5~12月我科行主动脉腔内修复术(endovascular aortic repair, EVAR)治疗腹主动脉瘤(abdominal aortic aneurysm, AAA)，同期应用Viabahn支架重建肠系膜下动脉(inferior mesenteric artery, IMA)2例。1例肾下型AAA合并双髂总动脉瘤样扩张，Riolan动脉弓形成，行EVAR治疗AAA，同期采用“烟囱”技术IMA内植入Viabahn支架成功，术后3个月随访复查CTA示支架位置良好，瘤体隔绝成功，Viabahn支架通畅。1例右侧髂总动脉巨大动脉瘤，行EVAR治疗髂总动脉瘤，髂内动脉弹簧圈栓塞，IMA内植入Viabahn支架成功，术后6个月随访复查CTA示支架位置良好，瘤体隔绝成功，Viabahn支架通畅。我们认为复杂AAA应用Viabahn支架合理重建IMA预防肠缺血，简化手术操作，近期疗效满意。
Abstract:
From May 2015 to December 2015, two cases of aortic aneurysm underwent endovascular aortic repair (EVAR), and simultaneously the inferior mesenteric artery (IMA) was implanted with the Viabahn stent-graft to reconstruct blood perfusion. The case one patient, which was suffered with abdominal aortic aneurysm (AAA) coexisting with bilateral common iliac aneurysm and combined with Riolan aortic arch, underwent EVAR successfully, with IMA implanted with Viabahn stent using the “Chimney” technology. After 3 months, aortic CTA showed successfully aneurysm isolation and well patent Viabahn stent. The case two patient, which was suffered with huge right common iliac aneurysm, underwent EVAR successfully, with the internal iliac artery occlusion with coin and IMA reconstruction with Viabahn stent. After 6 months, aortic CTA showed successful aneurysm isolation, as well patent Viabahn stent. We deem that EVAR and IMA revascularization using Viabahn stent-graft have satisfactory short-term outcomes in patients with complex AAA, which could prevent intestinal ischemia and simplify the operation.

参考文献/References:

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备注/Memo

备注/Memo:
基金项目：国家自然科学基金（项目编号：81270388）**通讯作者，E-mail：huanglianjun2008@163.com
更新日期/Last Update: 2017-03-09