摘要
目的探讨对比剂过敏高危腹主动脉瘤患者接受局部麻醉穿刺下完全无对比剂主动脉腔内修复术(EVAR)的可行性。方法对1例对比剂过敏腹主动脉瘤患者,在不使用对比剂、局部麻醉穿刺条件下实施EVAR术。结果手术获成功。术后MRI随访结果显示,患者腹主动脉瘤完全隔绝,无内漏,覆膜支架内血流通畅,双侧肾动脉显影良好。结论局部麻醉穿刺下完全无对比剂EVAR术治疗对比剂过敏伴全身麻醉禁忌高危腹主动脉瘤患者安全有效,但严格掌握适应证、术前充分评估是手术成功的关键。
Objective To evaluate the feasibility of endovascular aortic repair （EVAR） under local anesthesia without using any contrast agent for abdominal aortic aneurysm in patients with high allergic risk to contrast agent. Methods Under local anesthesia and with no use of any contrast, percutaneous EVAR was performed in a patient with abdominal aortic aneurysm who carried high allergic risk to contrast agent. Results Percutaneous EVAR was successfully accomplished. Postoperative follow-up MRI examination showed that the abdominal aortic aneurysm was completely isolated with no endoleak. The blood flow was unobstructed in the covered stent, and bilateral renal arteries were well visualized. Conclusion For the treatment of abdominal aortic aneurysm in patients who are highly allergic to contrast agent and who have contraindications to general anesthesia, pereutaneous EVAR performed under local anesthesia and using no contrast agent is safe and effective. Strict observation of indications and sufficient preoperative evaluation of clinical conditions is the key to ensure a successful operation.
作者
佟铸
谷涌泉
郭连瑞
高喜翔
郭建明
张成超
李立强
张建
汪忠镐
TONG Zhu GU Yongquan GUO Lianrui GAO Xixiang GUO Jianming ZHANG Chengehao LI Liqiang ZHANG Jian WANG Zhonggao(Department of Vascular Surgery, Xuanwu Hospital, Research Institute of Vascular Surgery, Capital Medical University, Beijing 100053, China)
出处
《介入放射学杂志》
CSCD
北大核心
2017年第7期594-596,共3页
Journal of Interventional Radiology
关键词
腹主动脉瘤
主动脉腔内修复术
对比剂
abdominal aortic aneurysm
endovascular aortic repair
contrast agent
