Hosaka Akihiro, Miyata Tetsuro, Nishiyama Ayako, Miyahara Takuya, Hoshina Katsuyuki, Shigematsu Kunihiro
Department of Surgery, Tokyo Metropolitan Tama Medical Center, Tokyo, Japan.
Vascular Center, Sanno Hospital and Sanno Medical Center, Tokyo, Japan.
J Vasc Surg. 2016 Feb;63(2):523-6. doi: 10.1016/j.jvs.2014.05.042. Epub 2014 Jun 14.
Exclusion of the accessory renal arteries (ARAs) is required during endovascular aneurysm repair if they arise from the sealing zone or aneurysm sac. Here, we report a case of successful endovascular treatment for a common iliac artery aneurysm located close to the aortic bifurcation and associated with nephrotic syndrome in a 51-year-old man. The bilateral ARAs were successfully preserved using kissing stent grafts. During surgery, the proximal ends of endografts inserted from the bilateral femoral arteries were adjusted so that they met at the same level in the aorta, and simultaneous balloon dilatation was performed. This method can be a useful treatment option for common iliac aneurysms in cases with large ARAs.
如果副肾动脉（ARAs）起源于血管腔内动脉瘤修复的封堵区或动脉瘤囊，则在该修复过程中需要将其排除。在此，我们报告一例成功的血管腔内治疗病例，该病例为一名51岁男性，患有靠近主动脉分叉处的髂总动脉瘤并伴有肾病综合征。使用吻合法支架移植物成功保留了双侧副肾动脉。手术过程中，调整从双侧股动脉插入的腔内移植物的近端，使其在主动脉内处于同一水平，并同时进行球囊扩张。对于存在粗大副肾动脉的髂总动脉瘤病例，该方法可能是一种有用的治疗选择。
