Hamdan M F, Maguire B G, Walker M A
Department of General Surgery, The Royal Devon & Exeter Hospital, Exeter EX4 6NJ.
Vascular. 2012 Aug;20(4):233-5. doi: 10.1258/vasc.2011.cr0301. Epub 2012 Mar 27.
The management of aortoiliac insufficiency has been improved considerably since the introduction of balloon-expandable stents in 1991. Although numerous studies have shown the safety and efficacy of balloon-expandable iliac artery stent placement, the procedure is not without potential complication. We report here a very unusual case of iliac artery stenting being complicated by deformation and elongation of the stent following balloon rupture at initial deployment with retention of the distal balloon marker and our successful approach to subsequent management with combined acetylsalicylic acid and clopidogrel. In conclusion, this conservative approach may be an alternative treatment of a partially deployed aortoiliac stent with a retained foreign body when further intervention is considered to be of high risk.
自1991年引入球囊扩张支架以来，主髂动脉功能不全的治疗有了显著改善。尽管大量研究表明球囊扩张髂动脉支架置入术的安全性和有效性，但该手术并非没有潜在并发症。我们在此报告一例非常罕见的髂动脉支架置入病例，在初始置入时球囊破裂，导致支架变形和延长，并保留了远端球囊标记物，以及我们采用阿司匹林和氯吡格雷联合治疗的成功后续处理方法。总之，当进一步干预被认为风险很高时，这种保守方法可能是治疗部分展开且留有异物的主髂动脉支架的一种替代疗法。
