DIAGNOSIS AND MANAGEMENT OF COLONIC ISCHEMIA AFTER ENDOVASCULAR GRAFT EXCLUSION FOR ABDOMINAL AORTIC ANEURYSM
- VernacularTitle:腹主动脉瘤腔内隔绝术后缺血性结肠炎的诊治
- Author:
Xiang FENG
;
Zaiping JING
- Publication Type:Journal Article
- Keywords:
colitis, ischemic;
aortic aneurysm, abdominal;
endovascular graft exclusion
- From:
Medical Journal of Chinese People's Liberation Army
2001;0(09):-
- CountryChina
- Language:Chinese
-
Abstract:
Colonic ischemia is a well documented complication of abdominal aortic reconstruction. In this retrospective study of abdominal aortic aneurysm patients undergone endovascular graft exclusion, the incidence and management of this complication were investigated. From Mar 1997 to Apr 2000,among the 40 patients who received elective endovascular graft exclusion for,infrarenal abdominal aortic aneurysm the bilateral hypogastric artery was retained in 30 patients, the unilateral hyogastric artery was retained in 10 patients. One patient had lower abdominal pain on the 28th day after operation, CTA showed the bilateral hypogastric artery occlusion, the symptoms were relieved after drug treatment. Retaining unilateral hypogastric artery can prevent the colonic ischemia after endovascular graft exclusion for abdominal aortic aneurysm, the chronic colonic ischemia secondary to bilateral hypogastric artery occlusion can be relieved by effective drug treatment.
