70 ShanghaiMedJ,2014,Vol.37,No ; 65~81 (70.0±0.3) 1 CT (CTA),, 2 1 AAA AAA6 1 65mm ;1 : 2 3,2 5 16mm 7 AAA 2, 2, 1 ( ) AAA AAA

Size: px

Start display at page:

Download "70 ShanghaiMedJ,2014,Vol.37,No ; 65~81 (70.0±0.3) 1 CT (CTA),, 2 1 AAA AAA6 1 65mm ;1 : 2 3,2 5 16mm 7 AAA 2, 2, 1 ( ) AAA AAA"

揭孟
5 years ago
Views:

1 Powerlink 7,, CT 7 1 Ⅰ Cuf ;2 ;1 ;3 CT 3~68, 11 CT 1, ; ; Anatomicalfixation:endovascular unibody stent graft for abdominal aortic aneurysm Yanfang,KONG Jian,DOU Yongchong,YANG Chao,ZHOUJun,BO Jun,QU Lefeng. * ZHANG * Departmentof InterventionalRadiology,Shenzhen People s Hospital,the Second Afiliated HospitalofJinan University, Shenzhen518020,Guangdong,China Corespondingauthor:QU Lefeng. qulefeng@163.com Abstract Objective To assessthe clinicaloutcomes ofthe Powerlink unibody stentgraftfor endovascularrepairofabdominalaorticaneurysm.methods FromJuly2007to March2013,7patientswith abdominalaorticaneurysmunderwentendovascularaorticaneurysmrepairusingthepowerlinkunibodystentgraft, whichwasdeployed onthe anatomicalabdominalaortic bifurcation (named anatomicalfixation).abdominal contrast-enhancedctexaminationsof7caseswereperformedbeforedischargeand1month,6 months,1year afterdischargeandannualy.results Thegraftsweresuccessfulyimplantedinthe7patients.Proximalcufwas implantedtotreatendoleakefectivelybecauseofproximaltype Ⅰ endoleakinonecaseanddistallimbextention wasusedin2cases;onecasereceiveddistallimbbarestentduotohypectasiainleftiliaclimbbranch.single unibodystentgraftwasplacedin3cases.nointeroperativecomplicationoccured.duringthefolow-upperiodof 3-68(median11)months,therewerenoendoleak,stentgraftmigrationoraneurysmrupture.Conclusion The anatomicalfixationwithunibodystentgraftissafeandefectiveintreatingabdominalaorticaneurysm.(shanghai MedJ,2014,37:69-72) fixation Key words Endovascularaorticrepair;Abdominalaorticaneurysm;Unibodystentgraft;Anatomical 20 (AAA) [1-2] (EVAR), : ( ); ( ) : qulefeng@163.com Powerlink 7 AAA EVAR,

2 70 ShanghaiMedJ,2014,Vol.37,No ; 65~81 (70.0±0.3) 1 CT (CTA),, 2 1 AAA AAA6 1 65mm ;1 : 2 3,2 5 16mm 7 AAA 2, 2, 1 ( ) AAA AAA 2 68 AAA 3 74 AAA 4 65 AAA Cuf 5 81 AAA 6 75 AAA mm 1.2 Powerlink Powerlink, ( Endologix ),,,, mm3, mm ; 16mm 40 55mm ; 21 mm; Cuf mm mm mm 88 55mm ( 1 ) CTA (DSA) Cuf ; 10%~20%, , CTA 2 Seldinger 8F 7 Powerlink

3 ( 4) [1] Ⅰ 1 Cuf 1 ( 6) 1 ( 2), 1, ( 7) DSA 1.3cm, 2cm, 16mm 1 [1,3,8] ( 2 ) 3 1 4h,, 12h,, [5] ; ~9d 7 AAA 78 CTA, 3~68, 11 CTA, 1 Avgerinos [10] EVAR AAA ( 3 ) 3 AAA 10, EVAR,AAA 15mm Talent Zenith ; <10mm ; >60 Powerlink (FDA) AAA, [3-7] EVAR - Cuf Palmaz, AAA AAA Jordan [9] Powerlink 98.7%, 100%; 1 Zenith (1,456 ) Powerlink (5 867 ) Cuf

4 72 ShanghaiMedJ,2014,Vol.37,No.1 ; Palmaz Palmaz,, Ⅰ Qu [3] Powerlink 519 AAA %; Cuf,13 2 Cuf,83 Palmaz ; Cuf ( ) Palmaz 1 AAA ( ) AAA [11], 1 AAA 65mm Talent Zenith,, ; 1 16mm : mm ( ) ;2, Cuf ;3 common iliac aneurysm AAA Cuf [1]QU L,HETZEL G,RAITHEL D.Sevenyears single centerexperienceofpowerlinkunibodybifurcatedendograft forendovascularaorticaneurysm repair[j].j Cardiovasc Surg,2007,48(1): [2]BAAS A F,GROBBEE D E,BLANKENSTEIJN J D. Impactofrandomized trials comparing conventional and endovascularabdominalaorticaneurysm repairon clinical practice[j].jendovascther,2007,14(4): [3]QU L, RAITHEL D. Experience with the Endologix Powerlinkendograftin endovascularrepair ofabdominal aortic aneurysms with short and angulated necks [J]. PerspectVascSurgEndovascTher,2008,20(2): [4]. [J].,2008,28(11): [5]JACKSON B M,CARPENTER J P. Devices used for endovascularaneurysm repair:past,present,andfuture [J].SeminInterventRadiol,2009,26(1): [6]HARLIN S A,BEASLEY R E,FELDMAN R L,etal. Endovascularabdominalaortic aneurysm repair using an anatomicalfixation technique and concomitantsuprarenal orientation:resultsofaprospective,multicentertrial[j]. AnnVascSurg,2010,24(7): [7]COPPI G, SILINGARDI R, TASSELLI S, et al. Endovasculartreatmentofabdominalaorticaneurysmswith thepowerlinkendograftsystem:influenceofplacementon thebifurcationanduseofaproximalextensiononearlyand lateoutcomes[j].jvascsurg,2008,48(4): [8]QU L,RAITHEL D.Fromclinicaltrialstoclinicalpractice: 612casestreatedwiththePowerlinkstent-graftforendovascular repairofaaa[j].jcardiovascsurg,2009,50(2): [9]JORDAN W DJr,MOORE W MJr,MELTONJG,etal. Securefixationfolowing EVAR with the Powerlink XL System in wide aortic necks:results of a prospective, multicentertrial[j].jvascsurg,2009,50(5): [10]AVGERINOS E D, DALAINAS I, KAKISIS J,et al. Endograftaccommodationontheaorticbifurcation:anoverview ofanatomicalfixationandimplicationsforlong-termstent-graft stability[j].jendovascther,2011,18(4): [11]LIBEERF,PEETERSP,VERBISTJ.Treatmentofaleft with endovascular Powerlink stentgraftinapatientwithanocclusionofaleftcommon iliacstent[j].actachirbelg,2009,109(6): ( : ) ( : )

桂医大研〔2015〕10号

桂医大研〔2015〕10号桂医大研 2015 10 号各单位 : 为进一步推进我校研究生学位论文的规范化标准化, 提高写作质量, 特制定广西医科大学研究生学位论文格式等相关规范要求, 现印发给你们, 请认真贯彻执行附件 :1. 广西医科大学研究生学位论文格式要