Younis George, Messner Greg, Gregoric Igor, Krajcer Zvonimir
The Department of Cardiovacular Surgery, The Texas Heart Institute at St. Luke's Episcopal Hospital, Houston, TX, USA.
Ann Vasc Surg. 2006 Sep;20(5):690-5. doi: 10.1007/s10016-006-9097-9.
Type I endoleak after endovascular abdominal repair is associated with a high risk of aneurysm expansion and rupture. Though type I endoleak can frequently be managed with endovascular techniques, in this report we describe a patient whose endoleak was refractory to multiple attempts at endovascular repair. The patient ultimately underwent a novel minimally invasive surgical repair with placement of an aortic wrap around the infrarenal aortic neck, successfully abolishing the endoleak.
血管腔内腹主动脉修复术后的I型内漏与动脉瘤扩张和破裂的高风险相关。尽管I型内漏通常可用血管腔内技术处理，但在本报告中，我们描述了一名患者，其经多次血管腔内修复尝试后内漏仍难以处理。该患者最终接受了一种新型微创手术修复，在肾下腹主动脉颈部放置主动脉包裹物，成功消除了内漏。
