腹主动脉瘤腔内修复术后Ⅱ型内漏的预防及治疗进展

doi:10.6040/j.issn.1671-7554.0.2024.0271

摘要/Abstract

摘要： 腹主动脉瘤是严重的血管外科疾病,可危及生命,其发病率逐年上升。腹主动脉瘤腔内修复术(endovascular aneurysm repair, EVAR)是目前肾下型腹主动脉瘤(abdominal aortic aneurysm, AAA)最广泛使用的治疗方法。Ⅱ型内漏是EVAR术后最常见的并发症,也是术后二次干预的主要原因,然而目前对Ⅱ型内漏的自然转归及治疗尚存在争议。本文拟通过对Ⅱ型内漏预防及治疗的研究进展进行文献回顾,为临床决策提供参考。

关键词: 腹主动脉瘤, 腔内修复, Ⅱ型内漏, 预防, 治疗

Abstract: Abdominal aortic aneurysm(AAA)is a life-threatening disease and its incidence is increasing year by year. Endovascular aneurysm repair(EVAR)is currently the most widely used treatment for infrarenal abdominal aortic aneurysms(AAA). Type Ⅱ endoleak is the most common complication after EVAR and the main reason for secondary postoperative intervention, however, the natural outcome and treatment of type Ⅱ endoleak are still controversial. This paper reviewed the literature on the research progress in the prevention and treatment of type Ⅱ endoleak to provide a reference for clinical decision-making.

Key words: Abdominal aortic aneurysm, Endovascular repair, Type Ⅱ endoleak, Prevention, Treatment

中图分类号:

R543.1+6

范立彬,张鸿坤. 腹主动脉瘤腔内修复术后Ⅱ型内漏的预防及治疗进展[J]. 山东大学学报 (医学版), 2024, 62(9): 55-60.

FAN Libin, ZHANG Hongkun. Progress in prevention and treatment of type Ⅱ endoleak after endovascular abdominal aortic aneurysm repair[J]. Journal of Shandong University (Health Sciences), 2024, 62(9): 55-60.

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