复发性腘动静脉瘘的支架移植物修复术。
Stent-graft repair of a recurrent popliteal arteriovenous fistula.
作者信息
Tielliu Ignace F J, Verhoeven Eric L G, Prins Ted R, van Det Marc, van den Dungen Jan J A M
机构信息
Department of Vascular Surgery, University Hospital of Groningen, Hanzeplein 1, Postbus 30001, 9700 RB Groningen, The Netherlands.
出版信息
J Endovasc Ther. 2002 Jun;9(3):375-8. doi: 10.1177/152660280200900319.
PURPOSE
To describe the successful endovascular treatment of a popliteal arteriovenous fistula with a stent-graft.
CASE REPORT
A 54-year-old man was referred to our hospital with a distal popliteal arteriovenous fistula following an arthroscopic meniscectomy 6 years earlier. Three surgical attempts to close the fistula were undertaken, but the fistula recurred. He now presented with symptoms of progressive venous hypertension with claudication, swelling of the leg, and ulceration at the ankle. The fistula was closed with a stent-graft deployed percutaneously. At 18 months, the patient is doing well; duplex evaluation has documented the patency of the popliteal artery and the stent-graft.
CONCLUSIONS
Endovascular treatment of a popliteal arteriovenous fistula is an alternative to open surgical reconstruction. In this situation, after multiple failed surgical closures and in a leg with extensive venous hypertension, it may be the best treatment option.
目的
描述使用覆膜支架成功进行腘动静脉瘘的血管内治疗。
病例报告
一名54岁男性在6年前接受关节镜半月板切除术后出现腘动静脉远端瘘，被转诊至我院。曾进行三次手术试图闭合瘘口，但瘘口复发。他目前出现进行性静脉高压症状，伴有间歇性跛行、腿部肿胀和脚踝溃疡。通过经皮植入覆膜支架闭合了瘘口。18个月时，患者情况良好；双功超声评估证实腘动脉和覆膜支架通畅。
结论
腘动静脉瘘的血管内治疗是开放性手术重建的替代方法。在这种情况下，经过多次手术闭合失败且腿部存在广泛静脉高压时，它可能是最佳治疗选择。
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