相关实验视频

Updated: Jan 13, 2026

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit

Arterial Pouch Microsurgical Bifurcation Aneurysm Model in the Rabbit

Published on: May 14, 2020

在EndoSuture动脉瘤修复后的中期大动脉部进化:单中心回顾性分析

Raffaele Pio Ammollo¹, Nicolas Mauchien¹, Alexandre Oliny^1,2

¹Department of Vascular and Endovascular Surgery, Hospices Civils de Lyon, Louis Pradel University Hospital, Bron, France.

EJVES vascular forum

|October 29, 2025

概括

在中期随访时,EndoSuture动脉瘤修复 (ESAR) 没有显示出大动脉部扩张,防止了1型内泄漏. 这种主动脉修复方法对于有敌对主动脉部或其他手术的解剖学限制的患者是可行的.

科学领域:

血管外科血管外科
血管内动脉瘤修复血管内动脉瘤修复
大动脉动脉瘤治疗方法

背景情况:

长期数据表明,EndoSuture动脉瘤修复 (ESAR) 有效地预防1型内泄漏 (EL1a) 并促进敌对大动脉部患者的囊缩.
然而,关于在ESAR之后大动脉部的中期行为存在有限的信息.

研究的目的:

为了回顾性地分析大动脉部在ESAR后的中期演变.
评估ESAR手术在患有敌对大动脉子或对其他修复方法的禁忌的患者的整体结果.

主要方法:

对2017年9月至2020年8月期间执行的ESAR程序的回顾性分析.
纳入标准:患有敌对的大动脉子的患者,不适合进行开放性修复,或对窗体内血管动脉瘤修复 (FEVAR) 的解剖学/技术限制.
随访时间:36.5 ± 16.3个月.

主要成果:

23名患者 (96%男性,中位数75岁) 接受了ESAR.
100%的技术成功和96%的程序成功.
没有外科手术期间的大动脉破裂或剖析.
6,12,24和36个月没有观察到大动脉部扩张.
没有持续的或新的1型内脏漏洞 (EL1a) 或肢体封闭.
0% 30天和1年的死亡率.
1,2,3年的总生存率分别为100%,100%和74%.

结论:

ESAR可以防止中期大动脉部和上大动脉扩张.
在ESAR中使用的EndoAnchors似乎可以稳定大动脉部.
对于复杂的大动脉动脉瘤病例而言,ESAR是一种可行的选择,不适合FEVAR或开放修复.

关键词:

我们的EndoAnchors 血管内动脉瘤修复血管内动脉瘤修复敌对的大动脉部部第1类内脏泄漏.

更多相关视频

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices

Published on: September 8, 2023

A New Murine Model of Endovascular Aortic Aneurysm Repair

A New Murine Model of Endovascular Aortic Aneurysm Repair

Published on: July 7, 2013

相关概念视频

Aneurysm III: Interprofessional Care

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...

Aneurysm IV: Nursing Management

Aneurysm IV: Nursing Management

Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...

Aneurysm I: Introduction

Aneurysm I: Introduction

An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...