主动脉支气管瘘继发急性咯血的血管内治疗
Endovascular treatment of acute haemoptysis secondary to aortobronchial fistula.
作者信息
Pirrelli S, Bozzani A, Arici V, Odero A
机构信息
Division of Vascular Surgery, I.R.C.C.S. Policlinico San Matteo, Pavia, Italy.
出版信息
Eur J Vasc Endovasc Surg. 2006 Oct;32(4):366-8. doi: 10.1016/j.ejvs.2006.04.017. Epub 2006 Jun 22.
INTRODUCTION
Aortobronchial fistula is a rare but potentially fatal condition. We report our experience in the endovascular treatment of acute haemoptysis in high risk patients with aortobronchial fistula.
REPORT
Between May 2002 and December 2004 five patients presenting with acute haemoptysys due to aortobronchial fistula were treated by endovascular stent grafting of the descending thoracic aorta. We did not observe intraoperative or perioperative mortality, stent-graft infection or paraplegia. In one case endoleak occurred.
CONCLUSION
Endovascular stent-grafting represents an effective therapeutic option for the management of aortobronchial fistula. Careful follow up of the patients is mandatory.
引言
主动脉支气管瘘是一种罕见但可能致命的疾病。我们报告了我们对患有主动脉支气管瘘的高危患者进行急性咯血血管内治疗的经验。
报告
2002年5月至2004年12月期间，对5例因主动脉支气管瘘出现急性咯血的患者进行了胸降主动脉血管内支架植入术治疗。我们未观察到术中或围手术期死亡、支架移植物感染或截瘫情况。有1例发生了内漏。
结论
血管内支架植入术是治疗主动脉支气管瘘的一种有效治疗选择。对患者进行仔细随访是必要的。
Zotero 插件