腹主动脉复合动脉瘤的腔内隔绝术治疗

目的：讨论复合腹主动脉病变进行腔内隔绝术（EVE）的可行性。方法：1例腹主动脉并存真性、假性和夹层动脉瘤患者，经双侧股动脉切开、肱动脉切开引入贯穿导丝，利用导丝导向技术和牵张技术成功置入模块式支架-人造血管移植物，以隔绝瘤体。结果：腔内隔绝操作技术完全成功，3个瘤体同时被隔绝，未加用任何延伸移植，未出现内漏、移位等并发症，重建血流通畅。结论：本例为EVE扩大适应证提供了经验。

Endovascular exclusion for the coexistent lesions of abdominal aortic aneurysm, false-aneurysm and dissection

Objective To evaluate the feasibility of endovascular exclusion for complex abdominal aortic aneurysms.Methods One case with coexistent lesions of abdominal aortic aneurysm, false aneurysm and dissection received stent graft exclusion. The bilateral common femoral arteries were dissected, and the humoral artery was punctured to insert the guidewire. The guidewire stretching technique was applicated, and the modular stent graft was deployed to exclude all the aneurysms and dissection simultaneously. Results The technique of exclusion achieved a thorough success, and all the three aneurysms were excluded simultaneously with no need of additional extension. No complications such as endoleak, migration, occurred. The lumen of revascularization was patent. Conclusion Based on the case, the indication of the endovascular exclusion can be further expended.