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成功腹腔镜修复腹主动脉瘤腔内修复术后难治性ⅠA型内漏。

Successful laparoscopic repair of refractory type Ia endoleak after endovascular abdominal aortic aneurysm repair.

机构信息

Department of Vascular Surgery, Colchester Hospital University Foundation Trust, Colchester, United Kingdom.

Department of Vascular Surgery, Colchester Hospital University Foundation Trust, Colchester, United Kingdom.

出版信息

J Vasc Surg. 2015 Jan;61(1):275-9. doi: 10.1016/j.jvs.2014.08.065. Epub 2014 Oct 11.

DOI:10.1016/j.jvs.2014.08.065
PMID:25307131
Abstract

Type I endoleaks associated with sac enlargement after endovascular abdominal aortic aneurysm repair mandate urgent intervention. Endoluminal treatments are generally considered first, but when these fail, open surgery has been advocated as a last resort. Open surgery is associated with significant mortality and morbidity, and thus, approaches that reduce this risk would be of interest. We report a successful case of laparoscopic treatment of a refractory type Ia endoleak after endovascular abdominal aortic aneurysm repair in an 83-year-old man.

摘要

I 型内漏与血管内腹主动脉瘤修复后囊腔增大相关，需要紧急干预。腔内治疗通常是首选，但如果腔内治疗失败，开放手术则被认为是最后的手段。开放手术与较高的死亡率和发病率相关，因此，降低这种风险的方法将是人们感兴趣的。我们报告了一例 83 岁男性血管内腹主动脉瘤修复后发生难治性 I 型内漏，成功采用腹腔镜治疗的病例。

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