Leon Luis R, Mills Joseph L
Vascular Surgery Section, Southern Arizona Veteran Affairs Health Care System, Tucson 85723, USA.
Vasc Endovascular Surg. 2009 Feb-Mar;43(1):76-82. doi: 10.1177/1538574408322661. Epub 2008 Nov 19.
Open iliac aneurysm repair has been historically associated with major morbidity and mortality. The introduction of endovascular devices and techniques has expanded the armamentarium available to treat these aneurysms, and several methods have been reported. However, the off-label use of a commercially available, flared extension limb stent-graft to treat a common iliac artery aneurysm (CIA) by preliminary extracorporeal predeployment, endograft reversal, and reinsertion into the delivery sheath to fashion a tapered endograft has not been previously reported. A case report of a CIA aneurysm diagnosed 9 years after transperitoneal tube graft abdominal aortic aneurysm repair treated with ipsilateral hypogastric artery occlusion with an Amplatzer plug and placement of a reversed, tapered extension limb stent-graft is herein presented.
开放性髂动脉瘤修复术在历史上一直与较高的发病率和死亡率相关。血管内装置和技术的引入扩大了治疗这些动脉瘤的可用手段，并且已有多种方法被报道。然而，使用市售的喇叭形延长肢支架型人工血管，通过体外预部署、移植物翻转以及重新插入输送鞘管以制作锥形移植物来治疗髂总动脉瘤（CIA）的这种未获批准的用法此前尚未见报道。本文报告了一例在经腹主动脉瘤修复术后9年诊断出的髂总动脉瘤病例，采用同侧腹下动脉用Amplatzer封堵器闭塞，并植入翻转的锥形延长肢支架型人工血管进行治疗。
