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腹主动脉瘤血管内修复术后非血管并发症的经验

Experience of non-vascular complications following endovascular aneurysm repair for abdominal aortic aneurysm.

作者信息

Park Hyung Sub, Jung In Mok, Soh Young Ho, Cho Byung-Sun, Ahn Young Joon, Chung Jung Kee

机构信息

Department of Surgery, Seoul National University College of Medicine, Seoul, Korea.

出版信息

J Korean Surg Soc. 2011 Jun;80 Suppl 1(Suppl 1):S67-70. doi: 10.4174/jkss.2011.80.Suppl1.S67. Epub 2011 Jun 17.

Abstract

Endovascular aneurysm repair (EVAR) for the treatment of abdominal aortic aneurysm (AAA) is a widely used method, and its decreased invasiveness compared to traditional surgical repair has brought about reduced rates of morbidity and mortality. Several vascular complications related to the procedure have been reported, but non-vascular complications have rarely occurred. We report herein the case of a 78-year-old man who underwent EVAR for AAA and presented with active duodenal ulcer bleeding and acute acalculous cholecystitis as complications after the procedure. We must consider that a wide spectrum of complications may occur following EVAR, and therefore it is important to evaluate the risks of complication and to take the necessary measures to minimize them.

摘要

血管内动脉瘤修复术(EVAR)用于治疗腹主动脉瘤(AAA)是一种广泛应用的方法,与传统手术修复相比,其侵入性降低,导致发病率和死亡率降低。与该手术相关的几种血管并发症已见报道,但非血管并发症很少发生。我们在此报告一例78岁男性患者,其接受了AAA的EVAR治疗,并在术后出现活动性十二指肠溃疡出血和急性非结石性胆囊炎等并发症。我们必须认识到,EVAR术后可能会出现各种各样的并发症,因此评估并发症风险并采取必要措施将其降至最低非常重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3328/3205366/ace98d9e921c/jkss-80-S67-g001.jpg

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