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推进复杂腹腔大动脉动脉瘤的内血管解决方案:患者选择,成像和设备创新

Mariana Martins-Lopes¹, Miguel Santos-Venâncio¹, João Rocha-Neves²

¹Faculdade de Medicina da Universidade do Porto.

Portuguese journal of cardiac thoracic and vascular surgery

|February 20, 2026

概括

治疗复杂腹腔大动脉瘤 (C-AAA) 需要仔细选择患者,先进的成像,并选择正确的内血管装置,如FEVAR或BEVAR,以获得更好的结果.

科学领域:

血管外科血管外科
血管内干预血管内干预
大动脉动脉瘤治疗方法

背景情况:

腹腔大动脉动脉瘤 (AAA) 影响4.8%的人口,由于破裂风险,需要对直径>5.5厘米的动脉动脉瘤进行干预.
内血管动脉瘤修复 (EVAR) 是偏好用于下AAA,但面临复杂解剖学方面的挑战.
创新的内脏移植已经开发出来,以解决标准EVAR在复杂病例中的局限性.

研究的目的:

审查关于治疗复杂腹腔大动脉动脉瘤 (C-AAA) 的文献.
专注于患者选择,手术前成像和可用的C-AAA内血管设备.

主要方法:

对C-AAA治疗进行了全面的文献审查.
在PubMed和谷歌学者中搜索的关键词包括"复杂的腹腔大动脉动脉瘤"",FEVAR"",BEVAR"和"chEVAR".
通过交叉引用确定了相关的文章.

主要成果:

对C-AAA内血管治疗的患者选择考虑了破裂风险,死亡率,预期寿命和解剖学.
计算机断层扫描血管造影 (CTA) 对于手术前成像至关重要,手术内融合成像有助于精度.
设备选择 (FEVAR,BEVAR,烟EVAR) 是根据个体解剖学量身定制的,可提供定制,现货和修改的选项.

结论:

对C-AAA的内血管治疗已经取得显著的进展.
最佳的结果取决于细致的患者选择,全面的成像和量身定制的设备选择.
未来的研究应该完善风险评估,设备修改,并扩大C-AAA的内血管应用.

关键词:

在腹部,腹部.一个大动脉动脉瘤.内血管程序内血管程序发烧,就是发烧.功能衰竭功能衰竭支架支架是一种支架.

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