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Updated: Jul 21, 2026

A New Murine Model of Endovascular Aortic Aneurysm Repair

A New Murine Model of Endovascular Aortic Aneurysm Repair

Published on: July 7, 2013

内血管大动脉动脉瘤修复腹腔大动脉动脉瘤与V型马脏

Mingwei Wu¹, Jiang Xiong¹

¹Department of Vascular and Endovascular Surgery, Chinese PLA General Hospital, Beijing, China.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

|February 4, 2025

概括

内血管大动脉动脉瘤修复 (EVAR) 是一个可行的选择,用于腹部大动脉动脉瘤 (AAA) 与马 (HSK). 这种技术在复杂的病例中成功地保存了脉动脉 (RIA),显示出良好的长期结果.

科学领域:

血管外科血管外科
干预性放射学干预性放射学
腎臟病學 (nephrology) 是一種醫學專業.

背景情况:

腹腔大动脉瘤 (AAA) 与马 (HSK) 并存是一种罕见的临床表现.
保护沟动脉 (RIAs) 对于维持HSK输液至关重要,特别是当它们供应脏血液流量的很大一部分时.
在患有HSK的患者中,AAA的开放性手术修复带来了重大挑战,特别是在高危人群中.

研究的目的:

描述一个患有大AAA和V型HSK的患者的内血管管理.
在这个复杂的解剖学场景中,评估血管内大动脉动脉瘤修复 (EVAR) 的可行性和结果.
为了突出维护RIA血液供应在HSK perfusion的EVAR期间的重要性.

主要方法:

一名70岁的男性患有57.8毫米×54.3毫米AAA和V型HSK,接受了EVAR.
这项手术涉及透镜支架和栓塞,以维持脏静脉 (RIAs) 的 perfusion.
对患者进行了AAA回归,HSK输液和功能监测.

主要成果:

成功执行了EVAR,解决了AAA,同时保留了供应HSK的两个RIA.
一年后的随访显示了完全的AAA回归和持续的HSK输液.
没有检测到内脏泄漏,血清肌素水平保持稳定,表明功能得到保护.

结论:

使用镜支架和栓塞等技术的Evar为AAA与V型HSK共存提供了可行的和有效的治疗方法.
这种方法对具有高手术风险的患者特别有益,这些患者不是开放修复的候选人.
保持RIA通透性对于在HSK患者中成功进行EVAR至关重要,确保足够的输液和预防并发症.

关键词:

腹部大动脉动脉瘤腹部大动脉动脉瘤血栓塞栓是什么意思血栓塞栓是什么意思血管内大动脉动脉瘤修复马的脏马的脏潜望镜 (Periscope) 是一个可视的镜头.

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