Rits Yevgeniy, Erben Young, Ricotta Joseph J
Mayo Clinic, Rochester, MN 55905, USA.
Perspect Vasc Surg Endovasc Ther. 2009 Sep;21(3):190-4. doi: 10.1177/1531003509352097. Epub 2009 Dec 3.
This report presents the first reported case of an endovascular repair of a ruptured giant popliteal artery aneurysm. The patient, an 86-year-old man, presented emergently with a free rupture of a 7-cm left popliteal artery aneurysm and a large hematoma in his left thigh of approximately 20 cm in diameter. The patient was considered to be at high risk for open surgery and therefore underwent endovascular repair of his ruptured popliteal artery aneurysm using two 8 mm x 15 mm Viabahn endografts. At one month follow-up, the large hematoma in the left thigh had completely resolved, the patient was ambulating without pain or difficulty and had palpable pedal pulses on physical examination. One year following the procedure, the endografts remained patent without endoleak.
本报告介绍了首例破裂性巨大腘动脉瘤血管腔内修复术的病例。患者为一名86岁男性，因7厘米的左腘动脉瘤游离破裂及左大腿直径约20厘米的巨大血肿而紧急就诊。该患者被认为接受开放手术的风险较高，因此使用两个8毫米×15毫米的Viabahn血管内移植物对其破裂的腘动脉瘤进行了血管腔内修复。在术后1个月的随访中，左大腿的巨大血肿已完全消退，患者可无痛且无障碍地行走，体格检查时可触及足背动脉搏动。术后1年，血管内移植物保持通畅，无内漏。
