胸主动脉腔内修复术后因腔内固定器脱位导致的Ⅲb型内漏
Type IIIb endoleak after thoracic endovascular aortic repair caused by endoanchor dislocation.
作者信息
Müller-Eschner Matthias, Peters Andreas S, Meisenbacher Katrin, Böckler Dittmar, Bischoff Moritz S
机构信息
Department of Diagnostic and Interventional Radiology, Heidelberg University Hospital, Heidelberg, Germany.
Department of Vascular and Endovascular Surgery, Heidelberg University Hospital, Heidelberg, Germany.
出版信息
Ann Vasc Surg. 2015 Jul;29(5):1019.e7-1019.e10. doi: 10.1016/j.avsg.2015.01.018. Epub 2015 Mar 9.
BACKGROUND
The aim of this study was to report the occurrence of a type IIIb endoleak after endovascular repair of a thoracic aortic aneurysm caused by endoanchor dislocation.
CASE REPORT
An 84-year-old female patient underwent thoracic endovascular repair for aneurysmal disease of her thoracic aorta. The procedure included primary left subclavian artery revascularization and the placement of endoanchors to enhance fixation of the endograft within the aortic arch. Dislocation of one of the endoanchors resulted in a graft defect leading to a type IIIb endoleak and aortic diameter expansion.
CONCLUSIONS
Endoanchors represent a promising adjunct in endovascular repair settings. However, their use requires careful procedure planning and special attention during follow-up.
背景
本研究的目的是报告因内固定锚移位导致胸主动脉瘤血管腔内修复术后IIIb型内漏的发生情况。
病例报告
一名84岁女性患者因胸主动脉瘤性疾病接受了胸主动脉血管腔内修复术。该手术包括一期左锁骨下动脉血运重建以及放置内固定锚以增强主动脉弓内移植物的固定。其中一个内固定锚移位导致移植物缺损，进而引起IIIb型内漏和主动脉直径扩张。
结论
内固定锚是血管腔内修复术中一种有前景的辅助手段。然而，使用时需要仔细的手术规划并在随访期间给予特别关注。
Zotero 插件