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分期杂交血管腔内修复术治疗破裂性腹主动脉瘤合并主动脉腔静脉瘘

Staged Hybrid Endovascular Repair of a Ruptured Abdominal Aortic Aneurysm with Aortocaval Fistula.

作者信息

Chung Sandra A, Reid Chris M, Bandyk Dennis F, Barleben Andrew, Lane John S

机构信息

School of Medicine, University of California San Diego, La Jolla, California, USA.

Department of Surgery, University of California San Diego Medical Center, San Diego, California, USA.

出版信息

Aorta (Stamford). 2015 Feb 1;3(1):25-9. doi: 10.12945/j.aorta.2015.14-053. eCollection 2015 Feb.

Abstract

There is a growing body of literature expanding the indication of endovascular aneurysm repair, from prophylactic treatment of aneurysms to other indications such as ruptured and complicated ruptured abdominal aneurysms. Concomitant aortocaval fistula is rare, and reports of open and endovascular repair exist. We report a unique hybrid approach to a case of a ruptured abdominal aortic aneurysm with aortocaval fistula, repaired primarily via endovascular approach in a hybrid, two-staged fashion. Representative images are presented in addition to a short review of this pathology.

摘要

越来越多的文献扩大了血管内动脉瘤修复的适应症,从动脉瘤的预防性治疗到其他适应症,如破裂和复杂破裂的腹主动脉瘤。主动脉腔静脉瘘伴发罕见,有开放和血管内修复的报道。我们报告了一例采用独特的杂交方法治疗破裂性腹主动脉瘤合并主动脉腔静脉瘘的病例,该病例主要通过杂交、两阶段的血管内方法进行修复。除了对这种病理进行简短回顾外,还展示了代表性图像。

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