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《Journal of Surgery Concepts & Practice》 1998-04
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Clinical Study of Endovascular Graft Exclusion for Abdominal and Thoracic Aortic Aneurysms

Jing Zaiping,Zhao Jun, Feng Xiang, et al. Division of Vascular Surgery, Changhai Hospital, the Second Military Medical University, Shanghai(200433)  
Objective: To evaluate the indication, methods, operating essentials and clinical prospects of endo-vascular graft exclusion(EVGE). Methods: 15 patients with abdominal and thoracic aortic aneurysm (AAA TAA) and dissecting aortic aneurysm(DAA) were performed EVGE. Dacron(graft)-stent complex was introduced via femoral arteries into the lumen of the sac and deployed at the neck of aneurysm, thus the aneurysm was excluded from the blood circulation. 4 tubular and 11 bifurcated grafts were deployed. Results: 13 patients ate normally at the operating day and got up to move at the day after operation. Endoleaks appeared in 4 cases, in which 1 disappeared 3 months later, 1 AAA ruptured 4 days after operation and was cured with open method, 1 acidosis, 1 iliac artery obstruction. Follow-up: Detecting with ultrasound and spiral CT in 2 weeks and 3 months after the procedures respectively showed that the blood flow was fluent and no graft migration. Conclusions: The key point to success lies on the accurate evaluation before operation. Suitable graft must been selected to fit the parameters of the aneurysms. Highly developed skills mastered by the operator can lead to an easy success of the procedure. Due to less invasion and less complications, EVGE has a bright clinical prospects.
【Fund】: 上海市卫生系统百人计划基金资助(编号97BR047)
【CateGory Index】: R654.3
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