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首页> 外文期刊>The Journal of Cardiovascular Surgery: Official Journal of the International Society for Cardiovascular Surgery >New EVAR devices: Pros and cons
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New EVAR devices: Pros and cons

机译：新的EVAR设备：优点和缺点

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摘要

The first randomized controlled trials comparing the two procedures (EVAR versus open repair) for the treatment of abdominal aortic aneurysms showed considerably better short-term outcomes and on the other side higher rates of device-associated reinterventions and remarkable financial burden in the endovascular arm. In the meantime, specialists experience and expertise have been improved significantly. To solve the reported drawbacks and to prevent endografts-associated complications, safer fixation features, lower profile, more flexible design and new revolutionary release and deployment mechanisms of stent-grafts have been also developed and established over the last years. In this review, we present the new EVAR devices and attempt to provide an overview of their premature performance based on the literature and the clinical practice in our institution.
机译：第一项比较这两种方法（EVAR与开放式修复）治疗腹主动脉瘤的随机对照试验显示，短期预后明显好转，另一方面，与器械相关的再介入率更高，血管内臂的财务负担明显。同时，专家的经验和专业知识得到了显着改善。为了解决所报道的缺点并防止与移植物相关的并发症，近几年来还开发并建立了更安全的固定功能，更小的外形，更灵活的设计以及新的革命性的移植物释放和展开机制。在本文中，我们介绍了新的EVAR设备，并试图根据文献和我们机构的临床实践概述其过早的性能。

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