血管内AAA修复部署期间缩短内移植物。

G H White, J May, R Waugh, J P Harris, X Chaufour, W Yu, M S Stephen
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引用次数: 26

摘要

目的:对腹主动脉瘤(AAA)修复患者进行前瞻性研究,评估血管内移植物植入过程中长度变化的发生率和程度。方法:前瞻性记录64例Vanguard或动脉瘤自体扩张、分叉血管内移植物术中技术困难和器械并发症的发生情况。平均年龄75岁)。在部署前在鞘系统中测量移植物长度,并在部署后立即通过透视与刻度标记导管进行比较。结果:39例Vanguard病例中22例(56%)和25例动脉瘤内移植物中11例(44%)的移植物缩短>或= 15mm。9例(14%)患者因移植物长度不足导致的内漏需要额外的延长移植物,但不需要转换为开放式修复。结论:目前两种自行扩张的腔内移植物术中缩短的发生率很高。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Shortening of endografts during deployment in endovascular AAA repair.

Purpose: To evaluate the incidence and extent of length changes during implantation of endovascular grafts in a prospective study of patients undergoing endovascular abdominal aortic aneurysm (AAA) repair.

Methods: Data regarding the occurrence of intraoperative technical difficulties and device complications were recorded prospectively for the Vanguard or AneuRx self-expanding, bifurcated endovascular grafts in 64 patients (56 males; mean age 75 years). Graft length was measured in the sheath system before deployment and again immediately after deployment by fluoroscopic comparison to a graduated marking catheter.

Results: Graft shortening > or = 15 mm was documented in 22 (56%) of 39 Vanguard cases and 11 (44%) of 25 AneuRx endografts. Additional extension grafts were required to correct endoleak caused by inadequate graft length in 9 (14%) patients, but no conversion to open repair was necessary.

Conclusions: There appears to be a high incidence of intraprocedural graft shortening with 2 current designs of self-expanding endoluminal grafts.

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