Paravastu S, Farquharson F, Serracino-Inglott F
Regional Vascular and Endovascular Institute, Manchester Royal Infirmary, Oxford Road, Manchester M13 9WL, UK.
Ann Vasc Surg. 2010 May;24(4):552.e5-8. doi: 10.1016/j.avsg.2009.09.012. Epub 2010 Feb 9.
We report the use of the common carotid artery as an alternate access in endovascular therapy.
METHODS/RESULTS: A 77-year-old man with an enlarging abdominal aortic aneurysm in whom previous attempts at standard endovascular repair had failed because of difficult iliac access underwent endovascular repair via the left common carotid artery. A custom-made Zenith infrarenal bifurcated stent graft was reverse-loaded on a thoracic distal delivery device and deployed in a caudal-to-cranial fashion. The patient made an uneventful recovery without any complications. Computed tomography confirmed exclusion of the aneurysm.
This case report highlights the role of the common carotid artery as an access vessel for stent-graft deployment when standard access via the femoral and iliac routes is unachievable.
我们报告将颈总动脉作为血管内治疗的替代入路。
方法/结果：一名77岁男性，腹主动脉瘤不断增大，此前因髂动脉入路困难，标准血管内修复尝试失败，遂通过左颈总动脉进行血管内修复。定制的Zenith肾下分叉支架移植物反向装载在胸段远端输送装置上，并以尾端至头端的方式展开。患者恢复顺利，无任何并发症。计算机断层扫描证实动脉瘤被隔绝。
本病例报告强调了在无法通过股动脉和髂动脉途径进行标准入路时，颈总动脉作为支架移植物展开的入路血管的作用。
