Clinical application of stent-graft for the treatment of aneurysm,preliminary result of 71 cases
- VernacularTitle:支架型人工血管临床应用的初步经验
- Author:
Xiaoming ZHANG
;
Xuemin ZHANG
;
Wei LI
;
Qingle LI
;
Jingjun JIANG
;
Yang JIAO
;
Chenyang SHEN
;
Lian YUAN
;
Zhonggao WANG
- Publication Type:Journal Article
- Keywords:
Aneurysm,false;
Aneurysm,dissecting;
Stent-graft
- From:
Chinese Journal of General Surgery
1993;0(03):-
- CountryChina
- Language:Chinese
-
Abstract:
ObjectiveTo summarize our preliminary result of the management of aneurysm using stent-graft. Method Different types of aneurysm were treated by stent-grafting in 71 cases including dissecting aortic aneurysm in 48 cases,infrarenal abdominal aortic aneurysm in 13 cases,pseudoaneurysm in descending aorta or left subclavian artery or infrarenal abdominal aorta and suprarenal abdominal aorta in 4,1,2 and 1 case(s) respectively,left or right iliac aneurysm in 2 cases respectively. The proximal intimal entry for dissecting aortic aneurysm and rupture site for pseudoaneurysm were sealed. Abdominal aortic aneurysm or iliac aneurysm was excluded using bifurcated or aorto-uni-iliac or straight stent-graft. Results The technique was successful in all cases. Two patients died perioperatively. Slight leakage in the proximal end of the dissecting aortic aneurysm was found in 5 cases,the leakage sealed off in 4 cases half year later. The reflux from distal entry was present in 9 cases. Initial leakage found in 6 cases of the abdominal aortic aneurysm,underwent spontaneous healing in 5 cases when followed-up at 3 months. Conclusion The treatment of dissecting aortic aneurysm,pseudoaneurysm and abdominal aortic aneurysm using stent-graft is mini-invasive and safe,though the long-term efficacy remains to be clarified.
