Journal of Clinical PracticeJournal of Clinical PracticeКлиническая практика2220-30952618-8627Eco-Vector1077310.17816/clinpract09144-49ReviewsНаучные обзорыReview ArticleDuplex scanning as an alternative to computer tomography with contrast enhancement for the control of complications after endovascular aneurysm repairДуплексное сканирование как альтернатива компьютерной томографии с контрастным усилением в качестве контроля осложнений после операции эндопротезирования инфраренального отдела аортыKorshunovD. I.КоршуновДмитрий Игоревич
Russian Federation

врач отделения ультразвуковой диагностики ФНКЦ ФМБА России

dkor2011@gmail.comKhabazovR. I.ХабазовРоберт Иосифович
Russian Federation

главный врач ФНКЦ ФМБА России, доктор медицинских наук, профессор

administracia83@bk.ruUstiantsevaN. V.УстьянцеваНаталья Васильевна
Russian Federation

зав. отделением функциональной и ультразвуковой диагностики, врач ультразвуковой диагностики, кандидат медицинских наук

ofuzd.fnkc@mail.ruChupinA. V.ЧупинАндрей Валерьевич
Russian Federation

зав. отделением сосудистой хирургии ФНКЦ ФМБА России, доктор медицинских наук

achupin@rambler.ruDeryabinS. V.ДерябинСергей Владимирович
Russian Federation

врач-сердечно-сосудистый хирург отделения сосудистой хирургии ФНКЦ ФМБА России

deryabin@mail.ruFederal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology AgencyФГБУ «Федеральный научно-клинический центр специализированных видов медицинскойпомощи и медицинских технологий» ФМБА РоссииFederal research Clinical center for specialized types of health care and medical technologies of Federal Medical and Biology AgencyФГБУ «Федеральный научно-клинический центр специализированных видов медицинской помощи и медицинских технологий» ФМБА России150320189144492512201825122018Copyright ©; 2018, Korshunov D.I., Khabazov R.I., Ustiantseva N.V., Chupin A.V., Deryabin S.V.Copyright ©; 2018, Коршунов Д.И., Хабазов Р.И., Устьянцева Н.В., Чупин А.В., Дерябин С.В.2018Korshunov D.I., Khabazov R.I., Ustiantseva N.V., Chupin A.V., Deryabin S.V.Коршунов Д.И., Хабазов Р.И., Устьянцева Н.В., Чупин А.В., Дерябин С.В.https://creativecommons.org/licenses/by-nc-nd/4.0https://clinpractice.ru/clinpractice/article/view/10773

EVAR (endovascular aneurism repair) is the preferred method for the surgical treatment of ananeurysm. The advantage of this type of surgical intervention is that a smaller number of postoperative complications will occur.

The main diagnostic tasks for patients after EVAR are to determine the size of the aneurysmal sac, detection of an endoleak, detection of the endoprosthesis migration and the deformation of the stent graft itself.

Conclusion: early detection of complications in the postoperative period remains the main problem for monitoring patients after EVAR. Duplex scanning is a safe, non-invasive and effective method of measuring the size of an aneurysmal sac and detecting possible complications after EVAR.

Эндопротезирование брюшного отдела аорты является предпочтительным методом для оперативного лечения аневризмы. Преимущество данного вида оперативного вмешательства заключается в меньшем количестве послеоперационных осложнений.

Основными задачами диагностики у пациентов после эндопротезирования инфраренального отдела аорты является определение размера аневризматического мешка, наличие эндолика, установление наличия миграции эндопротеза и деформации самого стент-графта.

Выводы: Раннее выявление осложнений в послеоперационном периоде остается основной

проблемой для наблюдения за пациентами после эндопротезирования аневризмы брюшного отдела аорты. Дуплексное сканирование является безопасным, неинвазивным и эффективным методом измерения размера аневризматического мешка и диагностики возможных осложнений после эндопротезирования брюшного отдела аорты.

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