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血管腔内腹主动脉瘤修复术中移植物肢体闭塞及髂动脉破裂的成功血管腔内治疗

Successful Endovascular Management of Intraoperative Graft Limb Occlusion and Iliac Artery Rupture Occurred during Endovascular Abdominal Aortic Aneurysm Repair.

作者信息

Lim Jae Hong, Sung Yong Won, Oh Se Jin, Moon Hyeon Jong, Lee Jeong Sang, Choi Jae-Sung

机构信息

Department of Thoracic and Cardiovascular Surgery, SMG-SNU Boramae Medical Center, Korea.

出版信息

Korean J Thorac Cardiovasc Surg. 2014 Feb;47(1):71-4. doi: 10.5090/kjtcs.2014.47.1.71. Epub 2014 Feb 5.

DOI:10.5090/kjtcs.2014.47.1.71
PMID:24570873
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3928271/
Abstract

For high-risk patients, endovascular aortic aneurysm repair (EVAR) is a good option but may lead to serious complications, which should be addressed immediately. A 75-year-old man with a history of abdominal surgery underwent EVAR for an aneurysm of the abdominal aorta and iliac arteries. During EVAR, iliac artery rupture and graft limb occlusion occurred, and they were successfully managed by the additional deployment of an iliac stent graft and balloon thrombectomy, respectively. We, herein, report a rare case of the simultaneous development of the two fatal complications treated by the endovascular technique.

摘要

对于高危患者，血管内主动脉瘤修复术（EVAR）是一种不错的选择，但可能会导致严重并发症，应立即予以处理。一名有腹部手术史的75岁男性因腹主动脉和髂动脉动脉瘤接受了EVAR。在EVAR过程中，发生了髂动脉破裂和移植物肢体闭塞，分别通过额外植入髂动脉覆膜支架和球囊血栓切除术成功处理。在此，我们报告一例罕见的同时发生这两种致命并发症并通过血管内技术治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c6a/3928271/3e9d02016de2/kjtcs-47-71-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c6a/3928271/1f3f4cda09c5/kjtcs-47-71-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c6a/3928271/63aaa16c29fd/kjtcs-47-71-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c6a/3928271/3e9d02016de2/kjtcs-47-71-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c6a/3928271/1f3f4cda09c5/kjtcs-47-71-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c6a/3928271/63aaa16c29fd/kjtcs-47-71-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7c6a/3928271/3e9d02016de2/kjtcs-47-71-g003.jpg

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