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腹主动脉瘤患者植入Ovation腹主动脉覆膜支架过程中的过敏反应

Anaphylactic Reaction during Implantation of Ovation Abdominal Stent Graft in Patients with Abdominal Aortic Aneurysm.

作者信息

Siani Andrea, Accrocca Federico, De Vivo Gennaro, Mounayergi Federica, Siani Luca Maria, Antonelli Roberto

机构信息

Unit of Vascular and Endovascular Surgery, "San Paolo" Hospital, Civitavecchia, Rome, Italy.

Unit of Vascular and Endovascular Surgery, "San Paolo" Hospital, Civitavecchia, Rome, Italy.

出版信息

Ann Vasc Surg. 2017 Feb;39:289.e1-289.e4. doi: 10.1016/j.avsg.2016.06.033. Epub 2016 Sep 23.

Abstract

The Ovation Abdominal Stent Graft System is a trimodular endoprosthesis planned to overcome the limitations of currently available stent grafts, allowing complex iliac and femoral access and providing a proximal seal in challenge infrarenal neck morphology. The proximal sealing is achieved by means of a network of inflatable rings filled with low-viscosity radiopaque polyethylene glycol-based polymer during stent-graft deployment. The leakage of polymer outside the channel to fill the rings into the vascular system may induce an hypersensitivity reaction and anaphylactic shock. We report a case of anaphylactic reaction during Ovation Abdominal Stent Graft System implantation. The endovascular procedure was successfully concluded.

摘要

奥维腹主动脉覆膜支架系统是一种三联模块化腔内修复装置,旨在克服现有覆膜支架的局限性,实现复杂的髂动脉和股动脉入路,并在具有挑战性的肾下颈部形态中提供近端密封。近端密封通过在支架移植物展开过程中,由填充低粘度不透射线聚乙二醇基聚合物的可充气环网络来实现。聚合物漏出通道进入血管系统以填充这些环,可能会引发过敏反应和过敏性休克。我们报告了一例在奥维腹主动脉覆膜支架系统植入过程中发生过敏反应的病例。该血管内手术成功完成。

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