腹主动脉瘤腔内修复术后内漏的临床研究进展
Research progress in the endoleak occurring after endovascular repair of abdominal aortic aneurysm
王正龚 1万嘉1
作者信息
- 1. 650021 云南昆明 云南大学附属医院血管外科
- 折叠
摘要
腹主动脉瘤(abdominal aortic aneurysm,AAA)是外科常见的动脉扩张性疾病.目前,腹主动脉瘤腔内修复术(endovascular aneurysm repair,EV AR)以其创伤小、术后恢复快、住院时间短、围术期死亡率低等优势广泛用于AAA治疗[1].但EVAR远期优势逐渐丧失,主要原因是术后二次干预率较高.内漏是EVAR术后最常见的并发症,也是导致术后二次干预的主要原因.目前对各型内漏的处理仍存在分歧.该文将结合国内外相关文献阐述EVAR术后内漏的原因、危险因素、处理方法的相关进展.
Abstract
Abdominal aortic aneurysm(AAA)is an artery dilation disease commonly-seen in surgical practice.Being of its advantages of small trauma,quick postoperative recovery,short hospital stay and low perioperative mortality,endovascular aneurysm repair(EVAR)has been widely used in the treatment of AAA.However,the long-term advantage of EVAR is gradually losing,mainly due to the high rate of secondary intervention after initial surgery.Endoleak is the most common complication after EV AR,which is the main cause of requiring postoperative secondary intervention.At present,there is still controversial over the treatment methods for each type of internal leakage.Referring to the relevant domestic and foreign literature,this paper expounds the causes,risk factors and treatment progress of endoleak occurring after EV AR.
关键词
腹主动脉瘤/腔内治疗/并发症/内漏Key words
abdominal aortic aneurysm/endovascular aneurysm repair/complication/endoleak引用本文复制引用
出版年
2024
NETL
NSTL
万方数据