髋关节置换术后髂外动脉损伤的血管内治疗
Endovascular treatment of external iliac artery injuries after hip arthroplasty.
作者信息
Adovasio Roberto, Mucelli Fabio Pozzi, Lubrano Giovanni, Gasparini Cristiana, Belgrano Manuel, Griselli Filippo, Fancellu Giovanni
机构信息
Departments of Surgery, University of Trieste, Italy.
出版信息
J Endovasc Ther. 2003 Jun;10(3):672-5. doi: 10.1177/152660280301000340.
PURPOSE
To report endovascular repair of injuries to the external iliac artery during hip surgery.
CASE REPORTS
Two elderly women with histories of chronically infected hip prostheses were found to have iatrogenic leaking pseudoaneurysms of the external iliac artery due to hip surgery trauma in the past. Both were treated successfully with a Jostent Peripheral Stent-Graft. The first patient died 17 months after treatment, and the second was well, with an excluded false aneurysm, at the 6-month follow-up.
CONCLUSIONS
Stent-graft repair may be an appropriate and effective treatment for some traumatic arterial lesions.
目的
报告髋关节手术期间髂外动脉损伤的血管腔内修复情况。
病例报告
两名有慢性感染髋关节假体病史的老年女性，因既往髋关节手术创伤，被发现患有医源性髂外动脉假性动脉瘤渗漏。两人均成功接受了Jostent外周覆膜支架治疗。第一名患者在治疗后17个月死亡，第二名患者在6个月随访时情况良好，假性动脉瘤被排除。
结论
覆膜支架修复可能是某些创伤性动脉病变的一种合适且有效的治疗方法。
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