Department of Vascular Surgery, Chase Farm Hospital, Enfield, London, UK.
Br J Radiol. 2011 Dec;84(1008):e240-2. doi: 10.1259/bjr/42137038.
Endovascular repair of isolated iliac artery aneurysms is an established safe and effective management option. Type II endoleak is a potential complication, but rarely results in significant morbidity or mortality. We report a case of a patient who presented with a ruptured internal iliac artery aneurysm secondary to a Type II endoleak. To our knowledge this and the following method of managing this have not been previously reported. Established methods of managing endoleaks, such as intravascular transfemoral embolisation and open or laparoscopic ligation, were not possible. Therefore, we resorted to a novel approach to this type of aneurysm and successfully performed a transcutaneous direct puncture and embolisation of the superior gluteal artery.
腔内修复孤立髂动脉瘤是一种成熟的安全有效的治疗选择。Ⅱ型内漏是一种潜在的并发症，但很少导致严重的发病率或死亡率。我们报告了一例因Ⅱ型内漏导致破裂性髂内动脉瘤的患者。据我们所知，目前还没有报告过这种病例和以下处理这种病例的方法。处理内漏的传统方法，如经血管经股动脉栓塞、开放或腹腔镜结扎，都不可行。因此，我们对这种类型的动脉瘤采用了一种新的方法，并成功地进行了经皮直接穿刺和栓塞臀上动脉。
