腹主动脉瘤腔内修复术后Ⅱ型内漏的防治进展
Research progress on the prevention and treatment of type Ⅱ endoleak after endovascular abdominal aortic an-eurysm repair
王琛 1桑宏飞1
作者信息
- 1. 苏州大学附属第二医院血管外科,苏州 215004
- 折叠
摘要
Ⅱ型内漏是腹主动脉瘤腔内修复术(EVAR)后的常见并发症,对EVAR手术患者的预后有较大的影响.预防Ⅱ型内漏的方法主要是在术中置入支架之前进行瘤囊分支动脉的栓塞,或置入支架后使用Onyx胶或其他特殊材料进行瘤囊的填充.治疗方法有保守治疗、栓塞治疗(经动脉途径、经腰途径、经腔静脉途径)、腹腔镜下动脉结扎手术、开放手术等,在临床上应用较多的是经动脉途径和经腰途径栓塞治疗.关于Ⅱ型内漏的预防、治疗方法,目前暂无统一标准.该文对近年来Ⅱ型内漏预防、治疗方面研究进展进行综述,以期为临床医生的临床决策提供参考.
Abstract
Type Ⅱ endoleak is a frequently encountered complication following endovascular abdominal aortic aneurysm repair(EVAR),exerting significant impact on the prognosis of patients post-EVAR.The primary strategies for preventing type Ⅱ endoleak involve prestent implantation embolization of the branch artery within the aneurysm sac or post-stent implantation filling of the sac with Onyx or other specialized materials.Treatment modalities encompass con-servative management,embolization(via transarterial,translumbar,transcaval approaches),laparoscopic artery ligation,open surgery,among others.Transarterial and translumbar embolizations are commonly employed in clinical practice.Currently,there exists no consensus regarding the prevention and treatment of type Ⅱ endoleak.This article provides a review of recent research advancements in this domain to offer reference and assistance to clinicians in their clinical de-cision-making.
关键词
主动脉瘤,腹/血管成形术/手术后并发症/内漏/综述Key words
Aortic aneurysm,abdominal/Angioplasty/Postoperative complications/Endoleak/Review引用本文复制引用
基金项目
江苏省苏州市卫生健康委员会基金项目(SKY2022153)
出版年
2024
国家科技期刊平台
NSTL
万方数据