密网支架手术指南解读.pdf

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密网支架手术指南解读

英文回答:

Theinterpretationoftheguidelinesforendovascular

aneurysmrepair(EVAR)isessentialforunderstandingthe

procedureanditsimplications.EVAR,alsoknownas

endovascularstentgrafting,isaminimallyinvasive

surgicaltechniqueusedtotreatabdominalaorticaneurysms

(AAA).Theprocedureinvolvestheplacementofastent

graftwithintheaortatoreinforcetheweakenedwalland

preventrupture.

TheguidelinesforEVARproviderecommendationsand

bestpracticesforsurgeonsperformingtheprocedure.They

outlinetheindications,contraindications,preoperative

evaluation,proceduralsteps,andpostoperativecare.By

followingtheseguidelines,surgeonscanensureoptimal

patientoutcomesandreducetheriskofcomplications.

Forexample,theguidelinesmayrecommendEVARfor

patientswithAAAmeasuringacertainsize,suchasgreater

than5.5centimeters.Theymayalsospecifycertain

anatomicalcriteria,suchastheabsenceofsignificant

iliacarterydisease,toensurethefeasibilityandsuccess

oftheprocedure.Additionally,theguidelinesmayprovide

guidanceonpatientselection,emphasizingtheimportance

ofconsideringthepatientsoverallhealthand

comorbidities.

Furthermore,theguidelinesmayoutlinethe

preoperativeevaluationprocess,whichtypicallyincludes

imagingstudies,suchascomputedtomographyangiography

(CTA),toassessthesize,location,andmorphologyofthe

aneurysm.Thisinformationiscrucialforselectingan

appropriatestentgraftsizeandplanningtheprocedure.

DuringtheEVARprocedure,thesurgeonaccessesthe

aortathroughsmallincisionsinthegroin.Guidedby

fluoroscopyandimaging,thestentgraftisadvanced

throughthebloodvesselsandpositionedwithinthe

aneurysm.Thegraftisthendeployed,sealingoffthe

aneurysmandrestoringnormalbloodflow.Theguidelines

mayprovidestep-by-stepinstructionsandtips

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