Can thiệp đặt ống ghép nội mạch điều trị phình động mạch chủ bụng tại Khoa phẫu thuật mạch máu Bệnh viện Chợ rẫy

Phạm Minh Ánh , Phan Quốc Hùng , Nguyễn Lâm Vương

Main Article Content

Abstract

Purpose: to evaluate the endovascular repairs
for abdominal aortic aneurysm (AAA).
Methods:
case series report with comorbidity, anatomy of
aneurysm and endovascular indication.
Results:
18 patients (15 men and 3 women), mean age
72,9
± 9,3, mean AAA diameter was 55,1 ± 14,5
mm. All successful implantation of Endurant
stent-graft with 13 bifurcated, 1 straight and 4
aorto-uni-iliac endoprotheses . 1 case with
bilateral internal iliac artery (IIA) occlusion and 6
with unilateral IIA occlusion. Perioperative
mortality was zero. Mean length of hospital stay
after intervention was 8,5
± 2,6 days.
Conclusion: endovascular repairs for AAA is a
minimum invasive procedure. Better to evaluate
patient’s condition, AAA’s anatomy to decide
suitable interventional indication and method.

Article Details

References

1. Alan T. Hirsch, Ziv J. Haskal, Norman R.
Hertzer et al. ACC/AHA Guidelines for the
Management of Patients With Peripheral
Arterial Disease. American College of
Cardiology Web Site 2005; 101-135.
2. Alfio Carroccio and Larry H. Hollier.
Abdominal Aortic Aneurysm. Haimovici’s
Vascular Surgery 5th edition. Blackwell
Publishing 2004. Chapter 59: 703-735.
3. De Bruin JL, Baas AF, Buth J, Prinssen et al,
DREAM Study Group. Longterm outcome of
open or endovascular repair of abdominal aortic
aneurysm. N Engl J Med. 2010; 362: 1881-1889.
4. Greenhalgh RM, Brown LC, Powell JT et al,
United Kingdom EVAR Trial Investigators.
Endovascular versus open repair of abdominal
aortic aneurysm. N Engl J Med. 2010; 362:
1863-1871.
5. JGM Smit and J van Marle. Repair of
abdominal aortic aneurysms with aorto-uniiliac stentgraft and femoro-femoral bypass.
SAJS. 2012; 5: 33-36.
6. Kristen Rhodes, Paul Didomenico, George
Vatakencherry. Bilateral internal iliac artery
occlusion for EVAR. Vascular disease
management 2011; 8: E1-E5.
7. Lederle FA, Freischlag JA, Kyriakides TC et al,
Open Versus Endovascular Repair (OVER)
Veterans Affairs Cooperative Study Group.
Outcomes following endovascular vs open
repair of abdominal aortic aneurysm: a
randomized trial. JAMA. 2009; 302: 1535-1542.
8. Nicola T, Giovanni T, Konstantinos PD et al.
Endurant Stent-Graft: a 2-year, single-center
experience with a new commercially available
device for the treatment of AAA. J Endovasc
Ther. 2010; 17: 439-448.
9. Parodi JC, Palmaz JC, Barone HD.
Transfemoral intraluminal graft implantation
for abdominal aortic aneurysms. Ann Vasc
Surg 1991; 5: 491-9.
10. Văn Tần, Cardon J.M, DeSoutter P. Kết quả
ban đầu điều trị phình động mạch chủ bụng
dưới động mạch thận qua đặt ống ghép nội
mạch. Tạp chí Y học Việt Nam 2006; 328:
160-168.