Kendrick Aaron S, Sprouse L Richard
Department of Surgery, University of Tennessee College of Medicine, Chattanooga, Tennessee 37403, USA.
Am Surg. 2007 Mar;73(3):227-9.
Our purpose was to demonstrate clinical efficacy of covered stent use in the peripheral vasculature. A 68-year-old man was transferred from an outlying hospital for evaluation and treatment of a pulsatile mass in his right groin after cardiac catheterization. Imaging with duplex ultrasound and diagnostic arteriogram demonstrated a 6-cm pseudoaneurysm (PSA) of the right superficial femoral artery (SFA) and an arteriovenous fistula (AVF) of the SFA and the profunda vein. Using a covered stent extending from the proximal SFA across the origins of the AVF and PSA, complete exclusion was attained. Follow-up ultrasound at 6 weeks revealed a patent stent, no AVF, and thrombosis of the PSA. Endovascular treatment of peripheral lesions (AVF/PSA) in an elective to semi-elective setting offers patients a safe, less invasive treatment option to consider over traditional open surgery. Consequently, a formidable reduction in incision length, wound infection, and postoperative immobility can be expected.
我们的目的是证明覆膜支架在外周血管系统中的临床疗效。一名68岁男性在心脏导管插入术后从一家偏远医院转来，以评估和治疗其右腹股沟处的搏动性肿块。双功超声成像和诊断性动脉造影显示右股浅动脉（SFA）有一个6厘米的假性动脉瘤（PSA）以及SFA与股深静脉之间的动静脉瘘（AVF）。使用一个从近端SFA延伸穿过AVF和PSA起源处的覆膜支架，实现了完全封堵。6周后的随访超声显示支架通畅，无AVF，且PSA血栓形成。在择期至半择期情况下对外周病变（AVF/PSA）进行血管内治疗为患者提供了一种比传统开放手术更安全、侵入性更小的治疗选择。因此，可以预期切口长度、伤口感染和术后活动受限会大幅减少。
