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目的 :探讨腹主动脉瘤的介入治疗新方法。方法 :分析腹主动脉瘤分体式支架治疗方法及介入前后 DSA图像。分体式支架包括两部分 :移植物支架以及内部的裸支架。支架植入采用经皮经双侧股动脉穿刺插管途经 ,12 F输送系统。结果 :支架植入后术中 DSA提示动脉瘤消失 ,无内漏发生。随访 CTA示支架无移位扭曲 ,血流通畅无内漏发生。结论 :分体式支架治疗腹主动脉瘤不必切开血管、全麻与降压、扩大了手术适应范围、缩短了手术时间并减少了并发症。
Objective: To explore a new method of interventional treatment of abdominal aortic aneurysm. Methods: The analysis of the treatment of split stent with abdominal aortic aneurysm and DSA images before and after interventional therapy. The split stand consists of two parts: a graft stand and an internal bare stand. Stents were implanted with transdermal femoral bifurcation through the femoral artery, 12 F delivery system. Results: The intraoperative DSA after stent implantation suggested aneurysm disappeared without internal leakage. Follow-up CTA showed no displacement of the stent distortions, blood flow without internal leakage occurred. Conclusion: The split stent does not have to open the blood vessels, general anesthesia and blood pressure treatment of abdominal aortic aneurysm, expanding the scope of surgical adaptation, shorten the operation time and reduce the complications.