覆膜支架在腘动脉瘤腔内治疗中的应用

尹存平; 段丽红; 梅百强; 李伟; 刁光亮; 唐于媚

doi:10.11659/jjssx.06E023069

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覆膜支架在腘动脉瘤腔内治疗中的应用

血管专栏 | 更新时间：2023-11-24

- 覆膜支架在腘动脉瘤腔内治疗中的应用
- Application of endovascular treatment of popliteal artery aneurysm with covered stent
- 局解手术学杂志 2023年32卷第11期页码：938-941
- 作者机构：
  
  1.联勤保障部队第九二〇医院血管外科，云南昆明 650032
  2.昆明医科大学研究生部，云南昆明 650500
- 作者简介：
  
  尹存平，E-mail：49839015@qq.com
- 基金信息：
  
  云南省科技厅昆医联合专项(202201AY070001-289);联勤保障部队第九二〇医院院内科技项目(2020YGA04)
- DOI：10.11659/jjssx.06E023069
  中图分类号： R654.4
- 纸质出版日期：2023-11-25，
  
  收稿日期：2023-06-09，
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尹存平,段丽红,梅百强等.覆膜支架在腘动脉瘤腔内治疗中的应用[J].局解手术学杂志,2023,32(11):938-941.

YIN Cun-ping,DUAN Li-hong,MEI Bai-qiang,et al.Application of endovascular treatment of popliteal artery aneurysm with covered stent[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):938-941.
尹存平,段丽红,梅百强等.覆膜支架在腘动脉瘤腔内治疗中的应用[J].局解手术学杂志,2023,32(11):938-941. DOI： 10.11659/jjssx.06E023069.

YIN Cun-ping,DUAN Li-hong,MEI Bai-qiang,et al.Application of endovascular treatment of popliteal artery aneurysm with covered stent[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2023,32(11):938-941. DOI： 10.11659/jjssx.06E023069.

摘要

目的

分析使用覆膜支架对腘动脉瘤患者行腔内治疗的效果。

方法

纳入联勤保障部队第九二〇医院行腔内修复的12例腘动脉瘤患者。观察动脉瘤变化，置入支架通畅情况，支架有无移位、断裂、内漏，肢体有无缺血及其他并发症。

结果

12例患者腔内修复术均获得成功。3例出现围术期并发症，其中切口血肿1例，蓝趾综合征1例，消化道出血1例。患者术后无夹层、血栓及假性动脉瘤形成，Viabahn支架无内漏、移位及断裂。随访期间1例出现股浅-腘动脉段动脉瘤形成，予以腔内覆膜支架修复；1例出现支架远心端局限性狭窄，狭窄约60%，予以球囊扩张后狭窄明显好转。随访1年，覆膜支架修复腘动脉瘤的通畅率为100%。1例患者术后16个月因心肌梗死死亡。

结论

使用覆膜支架腔内修复腘动脉瘤的短中期疗效较好，安全有效。

Abstract

Objective

To evaluate the outcome of endovascular treatment of popliteal artery aneurysm with covered stent.

Methods

Twelve patients with popliteal artery aneurysm undergoing endovascular treatment from the 920th Hospital of Joint Logistic Support Force were included. The changes of the aneurysm， the patency of the implanted stent， whether the stent was displaced， broken， or leaked， whether the limb was ischemia and other complications were observed．

Results

The endovascular repairs of 12 patients were successful. The 3 leakage patients occurred complications during perioperative period， including 1 case with hematoma in the incision，1 case with blue toe syndrome and 1 case with digestive tracthemorrhage. The patients had no dissection， thrombosis or pseudoaneurysm formation after surgery， and there was no leakage displacement or rupture of the Viabahn stent. During the follow-up，1 case developed superficial femorl-popliteal artery aneurysm and repaired by endovascular covered stent， 1 case developed localized stenosis at the distal end of the stent， with the stenosis of about 60%，which was significantly improved after balloon dilatation. The patency rate of covered stent repair of popliteal artery aneurysm after 1 year of follow-up was 100%. One patient died of myocardial infarction 16 months after surgery.

Conclusion

The endovascular treatment of popliteal artery aneurysm with covered stent is safe and effective， with good short- and medium-term efficacies.

关键词

腘动脉瘤Viabahn支架腔内修复

Keywords

popliteal artery aneurysmViabahn stentendovascular repair

references

Lawrence PF，Lorenzo-Rivero S，Lyon JL.The incidence of iliac， femoral， and popliteal artery aneurysms in hospitalized patients［J］.J Vasc Surg，1995，22（4）：409-415.doi：10.1016/s0741-5214（95）70008-0http://dx.doi.org/10.1016/s0741-5214（95）70008-0.

Farber A，Angle N，Avgerinos E，et al.The society for vascular surgery clinical practice guidelines on popliteal artery aneurysms［J］.J Vasc Surg，2022，75（1S）：109S-120S.doi：10.1016/j.jvs.2021.04.040http://dx.doi.org/10.1016/j.jvs.2021.04.040.

Ohrlander T，Holst J，Malina M.Emergency intervention for thrombosed popliteal artery aneurysm：can the limb be salvaged？［J］.J Cardiovasc Surg （Torino），2007，48（3）：289-297.

Gabrielli R，Siani A，Smedile G，et al.Are small popliteal aneurysm so innocent？［J］.Ann Vasc Surg，2022，84：265-269.doi：10.1016/j.avsg.2021.12.072http://dx.doi.org/10.1016/j.avsg.2021.12.072.

Edwards WS.Exslusion and saphenous vein bypass of popliteal aneurysms［J］.Surg Gynecol Obstet，1969，128（4）：829-830.

Marin ML，Veith FJ，Panetta TF，et al.Transfemoral endoluminal stented graft repair of a popliteal artery aneurysm［J］.J Vasc Surg，1994，19（4）：754-757.doi：10.1016/s0741-5214（94）70052-4http://dx.doi.org/10.1016/s0741-5214（94）70052-4.

Kumar HR，Rodriguez HE，Eskandari MK.Mid-term outcomes of self-expanding covered stent grafts for repair of popliteal artery aneurysms［J］.Surgery，2015，157（5）：874-880.doi：10.1016/j.surg.2014.11.016http://dx.doi.org/10.1016/j.surg.2014.11.016.

Patel SR，Hughes CO，Jones KG，et al.A systematic review and meta-analysis of endovascular popliteal aneurysm repair using the Hemobahn/Viabahn stent-graft［J］.J Endovasc Ther，2015，22（3）：330-337.doi：10.1177/1526602815579252http://dx.doi.org/10.1177/1526602815579252.

Tayfur K，Bademci MŞ.Popliteal artery aneurysms treatments：early midterm results of the use of endovascular stent grafts［J］.Turk J Med Sci，2021，51（3）：1106-1114.doi：10.3906/sag-2005-263http://dx.doi.org/10.3906/sag-2005-263.

Leake AE，Segal MA，Chaer RA，et al.Meta-analysis of open and endovascular repair of popliteal artery aneurysms［J］.J Vasc Surg，2017，65（1）：246-256.doi：10.1016/j.jvs.2016.09.029http://dx.doi.org/10.1016/j.jvs.2016.09.029.

Huang Y，Gloviczki P，Oderich GS，et al.Outcomes of endovascular and contemporary open surgical repairs of popliteal artery aneurysm［J］.J Vasc Surg，2014，60（3）：631-638.doi：10.1016/j.jvs.2014. 03.257http://dx.doi.org/10.1016/j.jvs.2014.03.257.

Garg K，Rockman CB，Kim BJ，et al.Outcome of endovascular repair of popliteal artery aneurysm using the Viabahn endoprosthesis［J］.J Vasc Surg，2012，55（6）：1647-1653.doi：10.1016/j.jvs.2011.12.059http://dx.doi.org/10.1016/j.jvs.2011.12.059.

Speziale F，Sirignano P，Menna D，et al.Ten years' experience in endovascular repair of popliteal artery aneurysm using the Viabahn endoprosthesis：a report from two Italian vascular centers［J］.Ann Vasc Surg，2015，29（5）：941-949.doi：10.1016/j.avsg. 2015.01.008http://dx.doi.org/10.1016/j.avsg.2015.01.008.

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