Hausegger K A, Tiesenhausen K, Karaic R, Tauss J, Koch G
Department of Radiology, University of Graz, Austria.
J Vasc Interv Radiol. 1999 Jun;10(6):747-50. doi: 10.1016/s1051-0443(99)70109-0.
During recent years, considerable clinical experience has been gained with endoluminal stent-graft procedures. Several studies have shown promising results up to a period of 4.5 years. However, long-term follow-up studies are still limited. Late endoleaks caused by stent-graft migration, disconnection of single components in modular stent-grafts, and limb thrombosis have been observed as long-term complications. We report a case in which a migrated and kinked bifurcated stent-graft caused an aortoduodenal fistula 20 months after stent-graft insertion. To our knowledge, such a complication has not been reported before.
近年来,腔内支架移植物手术积累了丰富的临床经验。多项研究显示,在长达4.5年的时间里都取得了令人满意的结果。然而,长期随访研究仍然有限。支架移植物移位、模块化支架移植物单个组件断开连接以及肢体血栓形成所导致的晚期内漏已被视作长期并发症。我们报告了一例病例,分叉型支架移植物移位并扭结,在支架移植物植入20个月后导致主动脉十二指肠瘘。据我们所知,此前尚未有过此类并发症的报道。