Song Kyung Sup, Lee Hyunsil, Nam Deok Ho, Park Ki Hyuk, Yun Sang-Seob, Lee Bae Young, Lee Kang Hoon
Department of Radiology, Pohang St. Mary's Hospital, Pohang.
Department of Radiology, St. Paul's Hospital, College of Medicine, The Catholic University of Korea, Seoul.
Vasc Specialist Int. 2014 Mar;30(1):38-42. doi: 10.5758/vsi.2014.30.1.38. Epub 2014 Mar 30.
This is to report the technique of reversed iliac leg stent-graft in endovascular treatment for isolated internal iliac artery (IIA) aneurysm, which had significant size discrepancy between the common iliac artery (CIA) and external iliac artery (EIA) in 3 patients from different hospitals. Three patients were a 85- and two 82-year-old men. Treated were right IIA aneurysms, sized 6.5×6.2 cm, 5.0×4.0 cm, and 4.1 cm in longest diameter, respectively. The diameters of the right CIA and right EIA measured 21 mm/11 mm, 15 mm/11 mm, and 20 mm/10 mm, respectively. In all cases, reversed iliac leg stent-grafts were prepared on-site; unsheathed and mounted upside-down manually, and deployed in each right CIA. Post-stent-graft angiograms showed complete exclusion of the aneurysms, except for minimal type 1 endoleak in one case. This technique is a useful treatment option in patients with isolated IIA aneurysm.
本文报告了逆行髂支支架型人工血管在孤立性髂内动脉（IIA）动脉瘤血管内治疗中的应用技术，3例来自不同医院的患者髂总动脉（CIA）和髂外动脉（EIA）存在明显的尺寸差异。3例患者分别为1名85岁男性和2名82岁男性。治疗的均为右侧IIA动脉瘤，最长直径分别为6.5×6.2 cm、5.0×4.0 cm和4.1 cm。右侧CIA和右侧EIA的直径分别为21 mm/11 mm、15 mm/11 mm和20 mm/10 mm。所有病例均在现场制备逆行髂支支架型人工血管；手动抽出并倒置安装，然后植入各右侧CIA。支架型人工血管置入后的血管造影显示动脉瘤完全被隔绝，仅1例存在微小的I型内漏。该技术是孤立性IIA动脉瘤患者的一种有效治疗选择。
