Bustamante M, Gomez-Dermit V, García I, Pontón A, Revuelta J M, Gonzalez-Tutor A
Department of Vascular Radiology, Marqués de Valdecilla University Hospital, Santander, Spain.
Ann Vasc Surg. 2009 May-Jun;23(3):410.e17-20. doi: 10.1016/j.avsg.2008.02.020. Epub 2008 May 27.
Prosthetic infection is one of the most serious complications of vascular surgery, and its treatment remains a surgical challenge. Good results have been reported using in situ replacement with arterial allografts, but late degeneration of the graft itself may necessitate further repair. We report a case of rupture and pseudoaneurysm formation of an iliac artery homograft urgently treated by endoluminal grafting with complete and immediate exclusion of the sac without complications. At 6-month follow-up angio-computed tomography showed patency of the vascular stent graft without leak evidence. Two years and 6 months after the procedure, the patient is well and alive.
人工假体感染是血管外科最严重的并发症之一，其治疗仍然是一项外科挑战。使用动脉同种异体移植物原位置换已报告有良好效果，但移植物本身的晚期退变可能需要进一步修复。我们报告一例髂动脉同种异体移植物破裂和假性动脉瘤形成的病例，通过腔内 grafting 紧急治疗，完全并立即排除瘤腔，无并发症。在6个月的随访中，血管计算机断层扫描显示血管支架移植物通畅，无渗漏迹象。手术后两年零六个月，患者情况良好，存活。
