Noël-Lamy Maxime, Teng Tan Kong, Lindsay Thomas
Department of Vascular and Interventional Radiology, University Health Network, University of Toronto, 585 University Ave., Toronto, ON, Canada M5G 2N2.
Department of Vascular and Interventional Radiology, University Health Network, University of Toronto, 585 University Ave., Toronto, ON, Canada M5G 2N2.
J Vasc Interv Radiol. 2015 Jul;26(7):1040-5. doi: 10.1016/j.jvir.2015.03.025.
This brief report describes a hybrid endovascular and open procedure to treat internal iliac artery (IIA) aneurysms and preserve pelvic blood flow. A covered stent was deployed before surgery in the superior gluteal artery, extending across the IIA aneurysm, with the proximal end in the common iliac artery lumen. During open aortoiliac aneurysm repair, the stent graft was anastomosed in an end-to-side manner to the surgical graft. Four aneurysms were treated in 3 patients. Technical success was achieved in all cases. There were no complications or repeat interventions. Stents were all patent at imaging follow-up (range, 6-25 mo). Patients were free from buttock claudication.
本简要报告描述了一种血管腔内与开放手术相结合的方法，用于治疗髂内动脉（IIA）动脉瘤并保留盆腔血流。术前在臀上动脉置入覆膜支架，使其跨过IIA动脉瘤，近端位于髂总动脉腔内。在开放性腹主动脉髂动脉瘤修复术中，将支架移植物与手术移植物进行端侧吻合。3例患者共治疗4个动脉瘤。所有病例均取得技术成功。无并发症或再次干预情况。影像学随访（时间范围6 - 25个月）显示支架均通畅。患者无臀部间歇性跛行。
