Ozaki Kumi, Sanada Junichiro, Ohtake Hiroshi, Watanabe Go, Matsui Osamu
Kanazawa University Graduate School of Medical Science - Radiology, Ishikawa, Japan.
Vascular. 2013 Apr;21(2):97-101. doi: 10.1177/1708538113478716. Epub 2013 Mar 18.
We report three cases of aortoesophageal fistula (AEF), in which the patients remained free from catastrophic bleeding after endovascular stent-grafting. The three patients, who were not candidates for surgical repair because of their poor general condition and prognosis, underwent endovascular stent-grafting following the administration of antibiotics and were successfully managed; hemostasis was maintained for several months until their death. Although we did not find any conclusive evidence to support this strategy, our experiences suggest that endovascular stent-grafting of AEF is useful for maintaining hemodynamic stability.
我们报告了三例主动脉食管瘘（AEF）病例，这些患者在接受血管内支架植入术后未发生灾难性出血。这三名患者由于全身状况和预后较差，不适合进行手术修复，在使用抗生素后接受了血管内支架植入术，并成功得到治疗；止血维持了数月直至死亡。尽管我们没有找到支持该策略的确凿证据，但我们的经验表明，AEF的血管内支架植入术有助于维持血流动力学稳定。
