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膝关节镜检查后腘动脉假性动脉瘤伴动静脉瘘的血管腔内修复:病例报告及文献复习

Endovascular repair of popliteal artery pseudoaneurysm with arteriovenous fistula after knee arthroscopy: case report and literature review.

作者信息

Alserr Ayman H K, Antonopoulos Constantine N, Papapetrou Anastasios, Kakisis John D, Brountzos Elias, Liapis Christos D

机构信息

1Department of Vascular Surgery, Attikon University Hospital, Athens, Greece.

出版信息

Vasc Endovascular Surg. 2014 Feb;48(2):166-70. doi: 10.1177/1538574413512379. Epub 2013 Dec 3.

Abstract

We report a case of postarthroscopic popliteal artery pseudoaneurysm (PSA) with arteriovenous fistula (AVF; PSA-AVF) in a 53-year-old woman who presented with limb edema, pain, and bruit 1 year after arthroscopic meniscectomy. She was treated percutaneously by covered stent deployment. After 6 months of follow-up, the patient was asymptomatic, with patency of the stent and occlusion of the AVF. A review of the literature was also performed to investigate the prevalence of postarthroscopic PSAs and highlight the endovascular approach of treatment. Endovascular approach with covered stent appears to be less invasive and might be an effective and feasible way of treatment of postarthroscopic popliteal PSA-AVF.

摘要

我们报告了一例53岁女性患者,在关节镜下半月板切除术后1年出现腘动脉假性动脉瘤(PSA)合并动静脉瘘(AVF;PSA-AVF),表现为肢体水肿、疼痛和杂音。她接受了经皮覆膜支架置入治疗。经过6个月的随访,患者无症状,支架通畅,AVF闭塞。我们还进行了文献回顾,以调查关节镜术后PSA的发生率,并强调其血管内治疗方法。覆膜支架血管内治疗似乎侵入性较小,可能是治疗关节镜术后腘动脉PSA-AVF的一种有效且可行的方法。

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