Bakoyiannis Chris N, Tsekouras Nikolaos S, Economopoulos Konstantinos P, Bastounis Elias A
First Department of Surgery, Vascular Department, University of Athens, "Laiko" General Hospital, Athens, Greece.
J Vasc Surg. 2008 Aug;48(2):461-4. doi: 10.1016/j.jvs.2008.03.027.
We report the use of a unique hybrid technique to treat a patient with a painful aneurysm extending both above and below the inguinal ligament. The patient was at high surgical risk, and endovascular treatment was not possible due to the absence of an appropriate vascular access site. Under local anesthesia, this aneurysm was treated using both a stent graft and a traditional Dacron graft for the iliac and femoral portions, respectively. Simultaneously, a popliteal aneurysm was treated endovascularly through a jump graft, which was used to bypass a short occlusion at the origin of the superficial femoral artery. Hybrid techniques can be an alternative approach in high-risk patients where endovascular procedures cannot be applied.
我们报告了一种独特的杂交技术用于治疗一名腹股沟韧带上下均有疼痛性动脉瘤的患者。该患者手术风险高，且由于缺乏合适的血管入路部位而无法进行血管内治疗。在局部麻醉下，分别使用覆膜支架和传统涤纶补片对髂部和股部的动脉瘤进行治疗。同时，通过跨越移植物对腘动脉瘤进行血管内治疗，该移植物用于绕过股浅动脉起始处的一小段闭塞。杂交技术可作为无法应用血管内手术的高危患者的一种替代方法。
