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Mid-term outcome after endovascular therapy in the superficial femoral and popliteal artery using long stents.使用长支架对股浅动脉和腘动脉进行血管内治疗后的中期结果。
Vasa. 2012 Jan;41(1):49-56. doi: 10.1024/0301-1526/a000163.
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Acute lower limb ischaemia due to delayed upstream migration of an iliac stent.由于髂动脉支架向上游迁移延迟导致的急性下肢缺血
Interact Cardiovasc Thorac Surg. 2012 Feb;14(2):231-3. doi: 10.1093/icvts/ivr045. Epub 2011 Nov 23.
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Endovascular treatment of popliteal artery aneurysms: a single-center experience.腘动脉动脉瘤的血管内治疗:单中心经验。
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Stent fractures in the Hemobahn/Viabahn stent graft after endovascular popliteal aneurysm repair.血管内修复后,Hemobahn/Viabahn 支架移植物中的支架断裂。
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A retrospective multicenter study of endovascular treatment of popliteal artery aneurysm.回顾性多中心研究腘动脉动脉瘤的血管内治疗。
J Vasc Surg. 2010 Apr;51(4):850-6. doi: 10.1016/j.jvs.2009.10.107. Epub 2010 Feb 7.
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Endovascular repair of popliteal aneurysms.腘动脉瘤的血管内修复。
J Vasc Surg. 2010 Apr;51(4):1056-60. doi: 10.1016/j.jvs.2009.09.008. Epub 2010 Jan 4.
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Endovascular exclusion of popliteal artery aneurysms with stent-grafts: a prospective single-center experience.采用覆膜支架行腘动脉瘤腔内隔绝术:一项前瞻性单中心研究
J Endovasc Ther. 2009 Apr;16(2):215-23. doi: 10.1583/08-2412.1.
8
Endovascular treatment of lower extremity aneurysms.
Semin Vasc Surg. 2008 Dec;21(4):195-9. doi: 10.1053/j.semvascsurg.2008.11.005.
9
Degenerative aneurysms of the superficial femoral artery.
Eur J Vasc Endovasc Surg. 2008 Mar;35(3):332-40. doi: 10.1016/j.ejvs.2007.09.018. Epub 2007 Nov 7.
10
Delayed upstream migration of an iliac stent.髂动脉支架向上游延迟迁移。
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血管腔内股动脉瘤封堵术后出现水囊瘤:一例报告。

Hygroma following endovascular femoral aneurysm exclusion: A case report.

作者信息

Wad Morten, Pedersen Brian Lindegaard, Lönn Lars, Sillesen Henrik

机构信息

Department of Vascular Surgery, Rigshospitalet, National Hospital, Copenhagen University, Denmark.

出版信息

Int J Surg Case Rep. 2013;4(10):831-3. doi: 10.1016/j.ijscr.2013.06.013. Epub 2013 Jul 19.

DOI:10.1016/j.ijscr.2013.06.013
PMID:23959411
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3785851/
Abstract

INTRODUCTION

Endovascular treatment of aneurysms in the superficial femoral artery (SFA) and popliteal segments is a suggested alternative to open surgical repair. Careful selection of patients for endovascular treatment of SFA aneurysms is mandatory.

PRESENTATION OF CASE

A complication due to endovascular stent-graft treatment in an 80-year old male with a 6 cm aneurysm in the SFA is presented. Hygroma developed after a partially unintended extravascular placed stent-graft. Two consecutive explorations resulted in a femoro-popliteal Polytetrafluoro-ethylene (PTFE) by-pass graft as the final solution.

DISCUSSION

Several explanations for the patient's complications are suggested.

CONCLUSION

A primary femoral-femoral/popliteal by-pass might be the best solution in SFA aneurysms due to risk of stent complications.

摘要

引言

股浅动脉(SFA)和腘动脉段动脉瘤的血管内治疗是开放性手术修复的一种推荐替代方案。对适合进行SFA动脉瘤血管内治疗的患者进行仔细选择是必不可少的。

病例介绍

本文介绍了一名80岁男性,其SFA有一个6厘米的动脉瘤,在接受血管内支架移植物治疗时出现了并发症。在部分意外的血管外放置支架移植物后出现了滑液囊肿。连续两次探查后,最终采用股腘聚四氟乙烯(PTFE)旁路移植作为解决方案。

讨论

对患者的并发症提出了几种解释。

结论

由于存在支架并发症的风险,原发性股-股/腘动脉旁路移植可能是SFA动脉瘤的最佳解决方案。