Popplewell Matthew A, Garnham Andrew W, Hobbs Simon D
Department of Vascular Surgery, New Cross Hospital, Wolverhampton, United Kingdom.
Department of Vascular Surgery, New Cross Hospital, Wolverhampton, United Kingdom.
J Vasc Surg. 2015 Aug;62(2):512-4. doi: 10.1016/j.jvs.2015.03.033. Epub 2015 May 1.
The management of an infected aortic endograft can be challenging both operatively and clinically. Although aortic endograft infection is rare, the incidence is likely to increase in the coming years because of ever rising numbers of endovascular aneurysm repairs. Definitive management involves the removal of the endograft through laparotomy. Removal of the graft is technically challenging; no manufacturer's device is available to assist in disengagement of barbed hooks that hold the endograft in position. We present a new technique using the disposable proctoscope as a device to facilitate safe removal of the endograft with minimal damage to the aortic wall.
感染性主动脉内移植物的处理在手术和临床方面都具有挑战性。尽管主动脉内移植物感染很少见，但由于血管内动脉瘤修复数量不断增加，未来几年其发病率可能会上升。确切的处理方法包括通过剖腹手术取出内移植物。取出移植物在技术上具有挑战性；没有制造商提供的设备可用于协助松开将内移植物固定在位的带刺钩子。我们提出一种新技术，使用一次性直肠镜作为一种设备，以促进安全取出内移植物，同时对主动脉壁造成最小的损伤。
