血管内动脉瘤修复前侵袭性动脉瘤囊栓塞在预防II型动脉瘤内漏和囊扩张中的作用。

IF 0.9 4区医学 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Yonago acta medica Pub Date : 2023-05-01 DOI:10.33160/yam.2023.05.010

Yasushi Yoshikawa, Satoru Kishimoto, Shohei Takasugi, Yuichiro Kishimoto, Takeshi Onohara, Kunitaka Kumagai, Rikuto Nii, Nozomi Kishimoto, Yuki Yoshikawa, Shinsaku Yata, Shinya Fujii, Motonobu Nishimura

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引用次数: 0

摘要

背景:本研究旨在评价血管内动脉瘤修复前对动脉瘤囊侧支进行积极栓塞的效果。方法:本回顾性研究纳入了2016年10月至2021年1月期间在鸟取大学医院接受血管内肾下腹主动脉瘤修复术的95例患者。其中，54例接受了标准的血管内动脉瘤修复术(常规组)，41例在进行血管内动脉瘤修复术前对肠系膜下动脉和腰椎动脉进行了卷取(栓塞组)。随访期间观察II型内漏的发生情况、动脉瘤囊直径的变化及II型内漏的再干预率。结果:与常规组相比，栓塞组II型内漏发生率明显降低，动脉瘤囊收缩频率更高，与II型内漏相关的动脉瘤囊生长更低。结论:我们的研究结果表明，在血管内动脉瘤修复前进行积极的动脉瘤囊栓塞可以预防II型动脉瘤内漏和由此引起的长期动脉瘤囊扩大。

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Role of Aggressive Aneurysm Sac Embolization Before Endovascular Abdominal Aneurysm Repair in Preventing Type II Endoleak and Sac Expansion.

Background: This study aimed to evaluate the effect of aggressive embolization of side branches arising from the aneurysmal sac before endovascular aneurysm repair.

Methods: This retrospective study included 95 patients who underwent endovascular infrarenal abdominal aortic aneurysm repair at Tottori University Hospital between October 2016 and January 2021. Of these, 54 underwent standard endovascular aneurysm repair (conventional group), and 41 underwent coiling of the inferior mesenteric and lumbar arteries before undergoing endovascular aneurysm repair (embolization group). The occurrence of type II endoleak, change in aneurysmal sac diameter, and reintervention rate due to type II endoleak during follow-up were evaluated.

Results: Compared to the conventional group, the embolization group had a significantly lower incidence of type II endoleak, more frequent aneurysmal sac shrinkage, and lower aneurysmal sac growth related to type II endoleak.

Conclusion: Our results demonstrated the effectiveness of aggressive aneurysmal sac embolization before endovascular aneurysm repair to prevent type II endoleak and the consequent long-term aneurysmal sac enlargement.

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来源期刊

Yonago acta medica MEDICINE, RESEARCH & EXPERIMENTAL-

CiteScore

1.60

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Yonago Acta Medica (YAM) is an electronic journal specializing in medical sciences, published by Tottori University Medical Press, 86 Nishi-cho, Yonago 683-8503, Japan. The subject areas cover the following: molecular/cell biology; biochemistry; basic medicine; clinical medicine; veterinary medicine; clinical nutrition and food sciences; medical engineering; nursing sciences; laboratory medicine; clinical psychology; medical education. Basically, contributors are limited to members of Tottori University and Tottori University Hospital. Researchers outside the above-mentioned university community may also submit papers on the recommendation of a professor, an associate professor, or a junior associate professor at this university community. Articles are classified into four categories: review articles, original articles, patient reports, and short communications.