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支架辅助栓塞作为主动脉瘤的“救援”选择。

Stent-assisted embolization as "bailout" option in aortic aneurysm.

机构信息

Department of Interventional and Diagnostic Radiology, University of Tübingen, Hoppe-Seyler-Str. 3, 72076 Tübingen, Germany.

出版信息

J Vasc Interv Radiol. 2011 Apr;22(4):563-8. doi: 10.1016/j.jvir.2010.12.004.

DOI:10.1016/j.jvir.2010.12.004
PMID:21463760
Abstract

The authors report two cases of stent-assisted embolization (SAE) in the aorta. In one case, SAE was performed for treatment of a pseudoaneurysm; the procedure consisted of stent placement and embolization with an AMPLATZER Vascular Plug and detachable coils through the stent struts. In the second case, SAE was performed to stop acute bleeding from an aortoureteral fistula. Before SAE in this case, the aortic bifurcation was reconstructed with self-expandable and balloon-expandable stents. SAE was technically successful in both cases. SAE for aortic pathologic processes may be useful in selected cases as an alternative to surgery or endovascular stent-graft therapy.

摘要

作者报告了两例主动脉内支架辅助栓塞术(SAE)的病例。其中一例 SAE 用于治疗假性动脉瘤,该手术通过支架内放置和 AMPLATZER 血管塞和可解脱线圈栓塞完成;另一个病例则是通过 SAE 治疗主动脉-输尿管瘘的急性出血。在此病例中,SAE 之前使用自膨式和球囊扩张式支架重建了主动脉分叉。这两个病例的 SAE 均取得了技术上的成功。对于某些主动脉病变的病例,SAE 可能是一种替代手术或血管内支架治疗的有效方法。

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