Casey Kevin, Al-Khatib Weesam K, Zhou Wei
Department of Surgery, Stanford University, CA 94305, USA.
Ann Vasc Surg. 2011 Jan;25(1):133.e1-8. doi: 10.1016/j.avsg.2010.06.008.
Hypogastric artery (HA) embolization with iliac limb extension is often performed for patients with concomitant aorta and common iliac artery aneurysms at the time of standard endovascular aneurysm repair. However, symptomatic pelvic ischemia following HA exclusion can be debilitating. In this study, we described two cases of HA preservation using commercially available stent grafts. The techniques that we described enable patients with concurrent aorta and iliac aneurysms to undergo endovascular aneurysm repair without increasing the risk of pelvic ischemia. Although the long-term durability of these trifurcated graft configurations remains to be determined, the short-term results are superb. Technical considerations of these two different approaches have also been compared.
在进行标准的血管内动脉瘤修复时，对于伴有腹主动脉和髂总动脉瘤的患者，常采用带髂支延长的髂内动脉（HA）栓塞术。然而，HA闭塞后出现的症状性盆腔缺血可能会使人虚弱。在本研究中，我们描述了两例使用市售支架型人工血管保留HA的病例。我们所描述的技术能使同时患有腹主动脉瘤和髂动脉瘤的患者接受血管内动脉瘤修复，而不会增加盆腔缺血的风险。尽管这些三分叉移植物构型的长期耐久性仍有待确定，但短期效果极佳。我们还比较了这两种不同方法的技术要点。
