Hartung Olivier, Vidal Vincent, Marani Ivo, Saran Anthony, Bartoli Jean Michel, Alimi Yves S
Department of Vascular Surgery, North University Hospital, Marseille, France.
J Vasc Surg. 2007 May;45(5):1062-5. doi: 10.1016/j.jvs.2007.01.021.
We report a case of ruptured abdominal aortic aneurysm emergently treated by endovascular aneurysm repair (EVAR) that developed a primary type II endoleak leading to persistent blood loss and retroperitoneal hematoma increase. Coil embolization resolved this. Although to our knowledge there are no recommendations regarding this, our report suggests that early type II endoleaks occurring after emergency EVAR for ruptured AAA should be treated when it is associated with blood extravasation outside the aneurysm sac.
我们报告了一例腹主动脉瘤破裂患者，通过血管腔内修复术（EVAR）进行紧急治疗，术后出现原发性II型内漏，导致持续失血和腹膜后血肿增大。弹簧圈栓塞术解决了这一问题。据我们所知，目前尚无关于此情况的相关建议，但我们的报告表明，破裂性腹主动脉瘤紧急EVAR术后早期出现的II型内漏，若与瘤体外渗血相关，则应进行治疗。
