目前临床广泛开展的 主动脉夹层 腔内修复技术（endovascular aneurysm repair, EVAR）是使用支架人造血管移植物，一般通过髂股动脉小切口入路，使用介入治疗技术通过主动脉腔送达主动脉预定位置释放，在主动脉腔内封闭夹层破裂口，开通主动脉真腔和分支动脉得血 ...

EVAR 手术对于AAA 直径的适应证与开放手术的原则一致,AAA直径 ≥ 5.5 cm的男性或直径 ≥ 5.0 cm 的女性病人应考虑择期手术。 除此之外,EVAR手术对腹主动脉瘤解剖条件还有严格的要求,行标准EVAR 治疗时,AAA 需在形态上满足以下要求:1 瘤颈长度和直径。

Endovascular aneurysmal repair (EVAR) for AAA is a minimally invasive endovascular procedure that involves the placement of a bifurcated or tubular stent-graft over the AAA to exclude the aneurysm from arterial circulation. In contrast to open surgical repair, EVAR only requires a stab incision, shorter procedure time, and early recovery.

2014年9月23日 · EVAR is a less invasive procedure with reduced procedure time (2.0 versus 3.7 hours), shorter recovery time (3 versus 7 hospital days), and less blood loss (200 versus 1000 mL) when compared to open repair [5]. Studies demonstrated that EVAR is effective for patients at high risk for open repair [6].

腹主动脉瘤腔内修复术（Endovascular Aneurysm Repair，EVAR）是在DSA动态监测下，经双侧股动脉的小切口，应用特殊的导入系统，将折叠的覆有人工血管薄膜的金属支架送入腹主动脉瘤腔内，利用金属支架的弹性、植入物头端的钩状附件加以球囊扩张作用将腔内植入物 ...

2025年2月17日 · In 2021, our hospital was an outlier for ‘prolonged LOS’ after carotid endarterectomy (CEA >1 day, 67% vs target 21%) and endovascular aortic aneurysm repair (EVAR >2 days, 36% vs target 22%). In response, we launched a quality improvement (QI) initiative to reduce LOS following elective CEA and EVAR.

AAAs超过55毫米的人通常会被转诊进行修复，因为破裂的风险超过了修复的风险。 修复AAA的方法有三种：手术、血管内动脉瘤修复术（endovascular aneurysm repair，EVAR）和腹腔镜修复术。

2024年9月7日 · Endovascular aneurysm repair (EVAR) has emerged as a preferred technique for managing asymptomatic abdominal aortic aneurysms (AAAs), largely due to its minimally invasive nature and favorable early outcomes compared to traditional open aneurysm repair (OAR). 1 Recent studies have highlighted the benefits of EVAR, including reduced operative ...

杂型EVAR 属于高危手术。 除了标准的心肺功能试验,英国爱尔兰血管手术麻醉协会(VASGBI)推荐最好进行心肺运动功� 试验评估患者应激功能。应当熟悉患者药物应用情况并且最优化用药--除非禁忌,所有患者都应使用低剂量阿斯匹林和他汀类药物,

EVAR因具有创伤小、出血少、术后恢复快等优点，已成为腹主动脉瘤的主要治疗方法。 随着经验的积累和器材的逐步完善，操作技术的日臻成熟，治疗适应证也更加广泛。