High surgical technologies in the treatment of the abdominal aortic aneurysm

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Abstract

The aim of the study was to determine the influence of the anatomical features of the development of the visceral aortic arteries on the formation of endolics after arthroplasty of the abdominal aortic aneurysm. 54 endoprosthetics were performed. Endolic type II was diagnosed in 4 cases, including 3 cases of its spontaneous closure after 1-6 months. In one patient, the inferior mesenteric artery with a diameter of 2.8 mm was the source of endolysis. Endovascular treatment of an abdominal aortic aneurysm remains the prerogative of large vascular centers with extensive experience in surgical interventions on the aorta and the possibility of long - term patient follow - up. The postoperative examination protocol is aimed at identifying arterial blood flow between the endoprosthesis and the walls of the aneurysm (endolic), determining the dynamics of the size of the residual aneurysmal sac, as well as such mechanical changes in the device as migration, bending, and breakage of the stent - graft. The tactics of treatment for endolysis due to retrograde blood flow from the branches of the abdominal aorta (type II) is not fully defined, and its elimination often requires a non - standard, individual approach. A clinical example of a successful laparoscopic clipping of the inferior mesenteric artery performed to eliminate type II endolics is presented.

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About the authors

R. N Dolgikh

The A.A.Vishnevsky 3rd Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

A. A Abrosimov

The A.A.Vishnevsky 3rd Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Email: dok.abrosimov@mail.ru
Krasnogorsk, Moscow region, Russia

A. V Obraztsov

The A.A.Vishnevsky 3rd Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

O. V Pinchuk

The A.A.Vishnevsky 3rd Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

V. V Yamenskov

The A.A.Vishnevsky 3rd Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

S. V Leonov

The A.A.Vishnevsky 3rd Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

S. N Kryzhov

The A.A.Vishnevsky 3rd Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

M. A Voronova

The A.A.Vishnevsky 3rd Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

G. A Chernov

The A.A.Vishnevsky 3rd Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation

Krasnogorsk, Moscow region, Russia

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Copyright (c) 2021 Dolgikh R.N., Abrosimov A.A., Obraztsov A.V., Pinchuk O.V., Yamenskov V.V., Leonov S.V., Kryzhov S.N., Voronova M.A., Chernov G.A.


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