Department of Radiology, Kosin University College of Medicine, 34, Amnam-Dong, Seo-Gu, Busan 602-702, South Korea.
Eur J Vasc Endovasc Surg. 2010 Dec;40(6):736-8. doi: 10.1016/j.ejvs.2010.08.025.
Endograft mal-deployment during endovascular aneurysm repair (EVAR) may cause renal artery (RA) occlusion. We report bilateral RA occlusion following insertion of an endograft with suprarenal barb fixation. Attempted salvage using the 'pull-down' technique caused right RA dissection. Despite bilateral RA stenting, the right kidney was atrophic on an ultrasound scan at 6 months. This potential hazard of devices with suprarenal barb fixation should be considered when repositioning is attempted.
血管内动脉瘤修复术 (EVAR) 期间移植物不当放置可能导致肾动脉 (RA) 闭塞。我们报告了一例肾上固定带支架置入后发生双侧 RA 闭塞。采用“下拉”技术进行抢救导致右 RA 夹层。尽管进行了双侧 RA 支架置入，但 6 个月时超声扫描显示右肾萎缩。当试图重新定位时，应考虑到具有肾上固定带的装置的这种潜在危险。
