Bierdrager Edwin, Lohle Paul N M, Schoemaker Cees M, Lampmann Leo E H, van Berge Henegouwen Dennis P, Hamming Jaap F
Department of Radiology, St. Elisabeth Hospital, Hilvarenbeekse weg 60, 5022 GC, Tilburg, The Netherlands.
Cardiovasc Intervent Radiol. 2002 Jan-Feb;25(1):72-3. doi: 10.1007/s00270-001-0084-9. Epub 2002 Jan 17.
A 75-year-old man complaining of acute abdominal pain, 1 month after elective surgical repair of an abdominal aortic aneurysm by an aortabi-iliac bypass graft, was referred and admitted to the emergency room. Imaging by sonography and computed tomography scan revealed a ruptured iliac pseudoaneurysm at the right iliac anastomotic site with associated large retroperitoneal hematoma. We inserted a self-expanding covered Z-stent graft by a transfemoral approach and the iliac anastomotic pseudoaneurysm was successfully excluded. Our case demonstrates the possibilities of an endovascular approach for providing a fast, efficient and less aggravating procedure in order to treat these life-threatening conditions.
一名75岁男性，在接受腹主动脉瘤择期手术修复（通过主动脉-双髂动脉搭桥移植术）1个月后，因突发腹痛前来就诊，并被收入急诊室。超声和计算机断层扫描成像显示，右侧髂动脉吻合口处髂假性动脉瘤破裂，并伴有巨大的腹膜后血肿。我们通过经股动脉途径插入了一个自膨式带覆膜Z型支架移植物，成功排除了髂动脉吻合口假性动脉瘤。我们的病例表明，血管内介入治疗方法有可能提供一种快速、高效且创伤较小的手术，以治疗这些危及生命的疾病。
