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腹主动脉瘤腔内修复术中髂内动脉的保留策略 被引量:6

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摘要 腹主动脉瘤腔内修复术(EVAR)以其创伤小、恢复快、手术及住院时间短等优点,已成为腹主动脉瘤的首选治疗方式。腹主动脉瘤同时累及单侧或双侧髂动脉分别占43%及11%,其治疗棘手,术后易发生内漏、髂支闭塞、瘤体破裂等并发症。为了减少Ib型和Ⅱ型内漏,需将覆膜支架延伸至髂外动脉,并进行髂内动脉(ⅡA)栓塞或封堵,但可出现各种临床并发症,随着腔内治疗器材和技术的不断更新,多种保留或者重建ⅡA的方法得以发展。
作者 严泽振 张岚
出处 《中华医学杂志》 CAS CSCD 北大核心 2016年第45期3622-3625,共4页 National Medical Journal of China
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