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| 1 | Revascularization for Iliac-femoral Artery Pseudoaneurysm with Greater Saphenous Vein显示文摘Objective To investigate the role of revascularization procedures with autologous greater saphenous vein in surgical management of iliac-femoral artery pseudoaneurysm in parenteral drug abusers. Methods Twenty-one patients with iliac-femoral artery pseudoaneurysm caused by parenteral drug abuse from 2004 to 2007 were enrolled. Among them,15 patients were male and 6 were female; their average age was 31.3 years. The size of pseudoaneurysms ranged from 3.0 cm to 7.5 cm. Common femoral artery and distal external iliac artery were often involved. We performed arterial reconstruction on these patients with autologous greater saphenous vein as a graft after excising iliac-femoral artery pseudoaneurysm through a single curved inguinal incision. All patients were followed up,and the complications were recorded. Results The surgical procedures were finished without intraoperative mortality or perioperative complications. All patients were free of claudication symptoms after the surgery except one case with preoperative popliteal artery stenosis. One case of infection and wound tissue fistula was found later. One case had inguinal incisional hematoma and another complained of numbness in thigh skin. Conclusions The use of autologous greater saphenous venous grafts for arterial reconstruction after pseudoaneurysm excision in drug abusers is safe and effective. This technique offers more advantages than arterial ligation alone without revascularization. An optimal greater saphenous venous graft is a prerequisite for revascularization. | Ji-dong Wu Yue-hong Zheng Nim Choi Furtado Rui | 2010 | Chinese Medical Sciences Journal2010，25，1： | 4 |
| 2 | Hybrid Endovascular Aorta Repair with Simultaneous Supra-aortic Branch or Iliac Branch Revascularization显示文摘Objective To describe a hybrid endovascular procedure for aorta repair with different kinds of bypass followed by concomitant placement of stent graft in the aorta. Methods From June 2007 to May 2008, 5 consecutive patients who presented with aortic aneurysm or dissection were treated with a new hybrid aorta repair technique. Complete surgical rerouting of supra-aortic vessels was simultaneously created by endovascular repair of aortic arch aneurysm with stent graft. Hybrid left carotid-subclavian bypass with stent graft deployment covering the ostium of the left subclavian artery was performed in a Debakey type III aortic dissection case. The supra-aortic branch was revascularized in 2 cases from ascending aorta to bilateral common carotid arteries using a 16-8 mm bifurcated graft, then total aortic arch and descending artery was occluded with stent-graft. The left carotid artery to the left subclavian artery bypass was created in 1 case, followed by stent-graft deployment. Two cases of infrarenal abdominal aortic aneurysm underwent left external iliac artery to left internal iliac artery bypass by a retroperineal route, then hybrid procedure was performed with bifurcated stent-graft. All stent grafts were deployed via a retrograde femoral artery approach in 5 patients. Results Technical success with complete aneurysmal exclusion was achieved in all patients. There was no incidence of endoleak. During a follow-up period of 2 to 10 months, documented perioperative neurologic events did not occur in all patients. One patient suffered from adult respiratory distress syndrome. After received tracheostomy, he recovered later. There was one death resulting from a postoperative myocardial infarction. Conclusion Hybrid arch repair provides an alternative therapy to patients otherwise considered prohibitively high risk for traditional open arch and thoracoabdominal aorta repair. | Yue-hong Zheng Nim Choi Hong-ru Deng CU Kouk Kun Yu Furtado Rui | 2009 | Chinese Medical Sciences Journal2009，24，3： | 3 |
| 3 | 大隐静脉移植治疗髂股动脉假性动脉瘤显示文摘目的探讨因注射吸毒致髂股动脉假性动脉瘤一期动脉重建术的治疗效果。方法本研究系按照时间序列的单中心研究,回顾性分析2004年3月至2007年10月澳门仁伯爵综合医院收治的由于注射吸毒导致的髂股动脉假性动脉瘤21例的临床资料,其中男15例,女6例,平均年龄31.3岁,瘤体最大直径3.0~7.5cm。有14例以动脉瘤破裂出血为首发症状就诊。应用对此类病例设计的髂股部单一弧形切口,取同侧大隐静脉倒置搭桥对本组21例假性动脉瘤患者进行治疗。结果21例手术均获成功,随访19例,随访时间2—36个月,失访2例。无围手术期死亡病例,无术后心、脑等器官并发症,手术后腹股沟出血、波动性肿物均消失。术后股部血肿1例,术后切口感染不愈合、股部窦道形成1例,同侧大腿前内侧感觉异常1例,术后间歇性跛行1例。结论获取适宜的自体大隐静脉用于血管重建是对该病治疗的前提。应用单一弧形切口取同侧大隐静脉倒置搭桥是可行的。对吸毒致髂股动脉假性动脉瘤行动脉重建术有利于减少间歇性跛行的发生。 | 郑月宏 蔡念 陈培斌 刘琼 Rui Furtado | 2009 | 中华普通外科杂志2009，24，2： | 3 |
| 4 | 一期杂交手术治疗弓部和胸腹段主动脉病变显示文摘目的总结单中心手术结合微创的杂交技术,同期治疗弓部、胸腹段主动脉病变的经验。方法回顾性分析2007年6月至2008年5月在澳门仁伯爵综合医院应用杂交技术,同期治疗主动脉病变5例的临床资料。其中胸降主动脉瘤累及半弓合并夹层1例,弓降主动脉瘤1例,DebarkeyⅢ型急性主动脉夹层1例,累及双侧髂总、髂内动脉的肾下腹主动脉瘤2例。弓部近端锚定区分类,ZAP0区2例,ZAP2区1例。弓降主动脉瘤正中开胸行升主动脉至双侧颈总人工血管搭桥+左颈总动脉至左锁骨下动脉搭桥术,同期导管室血管造影(digital seduction angiogram,DSA)下经股动脉释放Zenith覆膜支架。Debakeym型夹层行左颈总至左锁骨下动脉搭桥后释放覆膜支架封闭破口。对于累及双侧髂内动脉的腹主动脉瘤,预先髂内、外动脉搭桥后释放腹主动脉分叉支架。结果手术5例均获成功,术后即刻造影和随访CTA无内漏发生,随访期2~10个月。出血量约200~600ml之间,均未输血。1例弓部杂交术后相继发生成人呼吸窘迫综合征(adult respiratory distress syndrome,ARDS),及急性左心衰,经积极治疗后痊愈。1例术后因心肌梗塞死亡。2例弓部杂交治疗病例各颈动脉阻断时间均小于10min,均无神经并发症或者轻微神经症状。另1例腹主动脉瘤患者杂交术后恢复正常,无并发症。结论应用手术结合微创这一新型杂交技术治疗胸腹各段主动脉病变,有利于减少外科创伤和体外循环等所带来的血流动力学改变。 | 郑月宏 蔡念 邓鸿儒 郭昌宇 Rui Furtado | 2009 | 中华普通外科杂志2009，24，11： | 2 |
| 5 | Thoraco-abdominal Aorta Revascularization through a Retroperitoneal Approach显示文摘Objective To investigate the application of the retroperitoneal approach in aortic surgery. Methods We collected and analyzed data of 7 patients in Macao who presented with aortic diseases from 2007 to 2008 and were treated with aorta repair through retroperitoneal approach. Demographic features as well as intraoperative and postoperative data were analyzed. One case of thoracoabdominal aneurysm and 4 cases of abdominal aneurysm received artificial graft, among which hybrid iliac artery reconstruction with Zenith stent covering the ostium of the left subclavian artery was performed in 2 cases of infrarenal abdominal aneurysm. Aortic-iliac artery bypass was performed in 2 cases of aortoiliac occlusion. Results No operative or early postoperative death was observed. No perioperative intestinal adhesion or ureteral obstruction was found. One case reported delayed paraplegia and graft infection as postoperative complications. The complications were partially removed 3 months later after rehabilitation. Conclusion Retroperitoneal approach is a safe and feasible technique, which associated with a low incidence of postoperative pulmonary complications. | Yue-hong Zheng Kun Yu Jie-feng Zhang Nim Choi Hong-ru Deng Furtado Rui | 2010 | Chinese Medical Sciences Journal2010，25，4： | 1 |
| 6 | 胸腹主动脉置换术后感染并发症救治一例显示文摘胸腹主动脉手术风险、并发症发生率和死亡率较高[1-3]。2008年在澳门特别行政区仁伯爵综合医院外科深低温停循环下行胸腹主动脉夹层动脉瘤人工血管全置换手术1例,术后发生成人呼吸窘迫综合征胸腹段人工血管感染、胸腹腔感染、腹壁裂开、肝肾功能衰竭等严重并发症,经过积极治疗痊愈。现报告如下。 | 郑月宏 蔡念 邓鸿儒 李文生 Rui Furtado | 2013 | 中国医学科学院学报2013，35，2： | 0 |
| 7 | SURGICAL MANAGEMENT OF PSEUDOANEURYSM COMPLICATING ARTERIOVENOUS FISTULA FOR HEMODIALYSIS显示文摘Objective To report surgical experience in pseudoaneurysm (PA) repair of arteriovenous fistula (AVF) for renal hemodialysis. Methods Twenty patients undergoing PA repair of AVF for renal hemodialysis were treated in Central Hospital Conde S. Januario of Macao. Sixteen patients had PAs of AVF in upper extremities, 4 in lower extremities. All patients were treated with surgical therapy. Results All operations were finished without death. One patient suffered from acute thrombosis, recovered without any complication through instant thrombectomy. One patient with postoperative incision bleeding recovered after low molecular weight heparin was ceased. And one AVF could not be mature six weeks later, was recovered after ligation of branch vein. And one patient died due to recurrent cerebral infarction. Conclusion Surgical repair is the best choice for PA of AVF for renal hemodialysis. | Yue-hong Zheng Chang-wei Liu Heng Guan Hong-bing Gan UI Kuok Chao-liang Li Jian Zhang Dias Che Sok In Furtado Rui | 2007 | Chinese Medical Sciences Journal2007，22，3： | 0 |
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