Al-Jundi Wissam, Elboushi Amro, Lees Tim, Williams Robin
The Northern Vascular Centre, Freeman Hospital, Newcastle, United Kingdom of Great Britain and Northern Ireland
The Northern Vascular Centre, Freeman Hospital, Newcastle, United Kingdom of Great Britain and Northern Ireland.
Vasc Endovascular Surg. 2016 Aug;50(6):427-30. doi: 10.1177/1538574416655897. Epub 2016 Jun 22.
Treatment of juxtarenal abdominal aortic aneurysms (AAAs) remains challenging. A 79-year-old male who had infrarenal endovascular repair of abdominal aortic aneurysm (EVAR) 13 years previously presented with leaking juxtarenal AAA. Emergency fenestrated EVAR (FEVAR) was performed utilizing a stent graft designed and built for a different patient. Despite the need to embolize the celiac artery prior to covering it with the stent graft in order to achieve adequate proximal seal, the patient had uneventful recovery.
近肾腹主动脉瘤(AAA)的治疗仍然具有挑战性。一名79岁男性,13年前接受了肾下腹主动脉瘤腔内修复术(EVAR),现出现近肾AAA渗漏。使用为另一名患者设计和制造的支架型人工血管进行了急诊开窗EVAR(FEVAR)。尽管为了实现充分的近端密封,需要在支架型人工血管覆盖腹腔动脉之前对其进行栓塞,但患者恢复顺利。