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腹主动脉瘤血管内修复术后肢体闭塞：警惕狭窄的远端主动脉。

Limb occlusion after endovascular repair of an abdominal aortic aneurysm: beware the narrow distal aorta.

机构信息

Regional Vascular Surgery Unit, Royal Victoria Hospital, Belfast Health and Social Care Trust, Belfast, Northern Ireland, UK.

出版信息

Ir J Med Sci. 2012 Sep;181(3):373-6. doi: 10.1007/s11845-010-0464-8. Epub 2010 Feb 16.

DOI:10.1007/s11845-010-0464-8
PMID:20157788
Abstract

PURPOSE

This case aims to highlight the need for careful scrutiny of the distal aorta during endovascular aneurysm repair (EVAR) planning to avoid potentially avoidable graft limb occlusion.

CASE REPORT

We present a case of graft limb occlusion after EVAR, unresponsive to endovascular re-intervention requiring surgical extra-anatomic revascularization, due to a narrow distal aorta causing graft impingement and collapse.

CONCLUSION

We suggest clinicians should be aware of this potential pitfall during EVAR planning and beware the narrow distal aorta.

摘要

目的

本病例旨在强调在血管内动脉瘤修复（EVAR）规划期间需要仔细检查远端主动脉，以避免潜在的可避免的移植物分支闭塞。

病例报告

我们报告了一例 EVAR 后移植物分支闭塞的病例，血管内再介入治疗无反应，需要手术解剖外再血管化，原因是狭窄的远端主动脉导致移植物受压和塌陷。

结论

我们建议临床医生在 EVAR 规划期间应注意这一潜在陷阱，并警惕狭窄的远端主动脉。

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Large iliac arteries: a high-risk group for endovascular aortic aneurysm repair.大型髂动脉：血管腔内主动脉瘤修复的高危组。
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Limb graft occlusion following EVAR: clinical pattern, outcomes and predictive factors of occurrence.腔内修复术后肢体移植物闭塞：临床模式、结局及发生的预测因素
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Endovascular management of iliac limb occlusion of bifurcated aortic endografts.
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