Management strategy of iliac artery difficulty in abdominal aortic aneurysm endovascular repair
10.3760/cma.j.cn115396-20210421-00157
- VernacularTitle:腹主动脉瘤腔内修复中髂动脉入路困难治疗策略
- Author:
Jiareke TANG
1
;
Sheng GUAN
;
Jianping YANG
;
Bing ZHU
;
Hongbo CI
;
Qingbo FANG
;
Xiaohu GE
Author Information
1. 新疆维吾尔自治区人民医院血管外科，乌鲁木齐 830001
- Keywords:
Aortic aneurysm, abdominal;
Iliac artery occlusion;
Iliac artery stenosis;
Endovascular treatment;
Coronary artery bypass, off-pump
- From:
International Journal of Surgery
2021;48(6):384-387
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the strategies for the treatment of difficult iliac artery approach in endovascular repair of abdominal aortic aneurysm.Methods:The clinical data of 275 patients with abdominal aortic aneurysm who underwent endovascular surgery at the Department of Vascular Surgery, People′s Hospital of Xinjiang Uygur Autonomous Region from March 2010 to March 2019 were retrospectively analyzed, and the general clinical data such as age, gender, and comorbidities of the patients were recorded. The resource index was to carry out corresponding measures to perform surgery for patients with difficult access, analyze the incidence of the type of difficult access, treatment measures and effects.Results:Two hundred and seventy-five patients underwent endovascular repair, 78 of them (28.3%) had difficulty in accessing the iliac artery, including 29 cases (10.5%) with mild iliac artery stenosis, 7 cases (2.54%) with severe stenosis, and 3 cases with occlusion ( 1.09%), 39 cases (14.2%) were twisted. For patients with vascular twist, super-hard guide wire was used to correct iliac artery angulation. For patients with iliac artery stenosis, balloon dilation was performed. For severe stenosis, the artificial blood vessel was passed through the lateral peritoneum. After road transplantation, stent placement and other treatments were successfully performed endovascular repair.Conclusions:Pathway vascular disease can cause difficulties in endovascular treatment of abdominal aortic aneurysms. Endovascular repair can be successfully performed after corresponding treatments according to different difficulties, and the long-term patency rate is good.
