在一名既往 EVAR 患者中，通过联合股肱入路使用 zenith 分支移植物行血管内双侧进展性髂总动脉瘤修复。
Endovascular bilateral evolutive common iliac artery aneurysm repair using a zenith branch graft through a combined femoro-brachial approach in a patient with previous EVAR.
机构信息
Vascular Surgery Unit, San Donato Hospital, Via Pietro Nenni, 20-52100, Arezzo, Italy.
出版信息
Eur J Vasc Endovasc Surg. 2010 Nov;40(5):596-8. doi: 10.1016/j.ejvs.2010.07.025. Epub 2010 Sep 28.
INTRODUCTION
To report treatment of bilateral evolutive iliac artery aneurysms three years after EVAR.
REPORT
Three years following uncomplicated Zenith AAA stent-graft placement, the patient presented with aneurysmal common iliac arteries. Through a combined femoro-brachial approach, both iliac artery aneurysms were excluded, and a Zenith branch graft was placed to preserve the left hypogastric artery. The procedure was technically successful and free from complication. One year post-procedure, the Zenith branch graft remains stable.
DISCUSSION
A combined femoro-brachial approach, with iliac branch graft placement, offered a solution to a challenging scenario.
介绍
报告 EVAR 后三年双侧进行性髂动脉瘤的治疗情况。
病例报告
ZenithAAA 支架置入后 3 年，患者出现髂总动脉瘤。通过股-肱联合入路，对双侧髂动脉瘤进行了隔绝，同时保留了左髂内动脉的 Zenith 分支移植物。手术技术成功，无并发症。术后 1 年，Zenith 分支移植物保持稳定。
讨论
采用股-肱联合入路加髂内分支移植物的方法，为这一具有挑战性的病例提供了一种解决方案。
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