Aneurysms of the internal iliac artery: Management strategy
Aneurysms of the internal iliac artery: Management strategy
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DOI：
10.1007/s100160010075
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发表时间：
2001-05-01
影响因子：
1.5
通讯作者：
Laurian, C
中科院分区：
文献类型：
--
作者：
Soury, P;Brisset, D;Laurian, C
随着CT扫描的广泛使用，髂内动脉瘤(IIA)的发现和治疗变得更加频繁。在过去的几年里，血管内修复已经被添加到治疗的武库中。我们回顾了1987至1997年间接受44次IIA治疗的38名患者的记录，以评估采用不同治疗方法的近期和长期结果。根据治疗情况将动脉瘤分为三组。I组：腹主动脉瘤(AAA)同期行IIA治疗25例。这组患者的发病率/死亡率与接受单独AAA修补术的患者相当。II组包括14例在腹主动脉修补术后随访期间接受IIA治疗的患者。本组并发症多见于术中。III组包括5个与AAA修复无关的孤立的IIA。并发症与第一组相似，在此回顾分析的基础上，我们提出了一种管理策略，根据治疗情况，采用开放手术或血管内修复，或两者兼用。
With the widespread use of CT scans, detection and treatment of internal iliac artery aneurysms (IIA) have become more frequent. In the last few years, endovascular repair has been added to the therapeutic arsenal. We reviewed the records of 38 patients treated for 44 IIA between 1987 and 1997 to assess immediate and long-term outcome using various therapeutic methods. Aneurysms were divided into three groups according to the circumstances of treatment. Group I included 25 IIA treated at the same time as abdominal aortic aneurysm (AAA). The morbidity/ mortality rate in this group was comparable to that in patients who underwent isolated AAA repair. Group II included 14 IIA treated during follow-up of AAA repair. Most complications in this group were intraoperative. Group III included five isolated IIA not associated with AAA repair. Complications were similar to those in group I. On the basis of this retrospective analysis, we propose a management strategy in which open surgery, endovascular repair, or both are used, depending on the circumstances of treatment.