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目的:评价经导管带膜支架腔内隔绝术治疗腹主动脉瘤及主动脉夹层动脉瘤的临床疗效。方法:应用带膜支架治疗Ⅲ型腹主动脉夹层动脉瘤20例及腹主动脉瘤4例。20例主动脉夹层动脉瘤应用带膜支架行近侧内膜破口封堵,4例腹主动脉瘤选用分叉延伸型支架。结果:所有患者带膜支架释放均获得成功。1例主动脉夹层动脉瘤患者术后第3天因急性肾功能衰竭死亡。结论:主动脉夹层动脉瘤和腹主动脉瘤带膜支架腔内隔绝术是一项新的微创、安全的治疗手段。
Objective: To evaluate the clinical efficacy of transcatheter stent-graft exclusion in the treatment of abdominal aortic aneurysm and aortic dissection. Methods: Twenty cases of type Ⅲ abdominal aortic dissection aneurysm and 4 cases of abdominal aortic aneurysm were treated with band stent. 20 cases of aortic dissecting aneurysm with stent-graft proximal neointima break, 4 cases of abdominal aortic aneurysm selection bifurcated stent. Results: All patients with stent-graft were successful. One patient with aortic dissection died of acute renal failure on the third postoperative day. Conclusion: Aortic dissecting aneurysm and abdominal aortic aneurysm with endovascular stent graft exclusion is a new minimally invasive and safe treatment.