Jeuriëns-van de Ven Sjannieke A H, Schouten van der Velden Arjan P, Schultze Kool Leo J M, van der Vliet J Adam, Berger Paul
Division of Vascular Surgery, Department of Surgery, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.
Ann Vasc Surg. 2011 Nov;25(8):1142.e7-9. doi: 10.1016/j.avsg.2011.08.004.
We present the case of a patient with a persisting type II endoleak after endovascular repair of an iliac aneurysm with an iliaco-caval fistula. We describe the pathophysiological mechanism behind this phenomenon and discuss why conservative treatment is unlikely to seal this type of endoleak. A more aggressive treatment strategy is therefore advocated.
我们报告了一例髂动脉瘤伴髂腔静脉瘘血管腔内修复术后持续性Ⅱ型内漏的病例。我们描述了这一现象背后的病理生理机制,并讨论了为何保守治疗不太可能封闭此类内漏。因此,主张采取更积极的治疗策略。