Giannakakis Sotirios, Galyfos George, Geropapas Georgios, Kerasidis Stavros, Papacharalampous Gerasimos, Kastrisios Georgios, Maltezos Chrisostomos
Department of Vascular Surgery, KAT General Hospital, Athens, Greece.
Vasc Specialist Int. 2016 Sep;32(3):119-123. doi: 10.5758/vsi.2016.32.3.119. Epub 2016 Sep 30.
A 75-year-old patient with severe comorbidities was treated with an Endurant (Medtronic, USA) II endograft due to a ruptured abdominal aortic aneurysm (AAA). After four years of unremarkable follow-up, bilateral limb separation was detected. The patient underwent endovascular bridging without any complication. Although rarely detected in newer grafts, late bilateral type IIIa endoleaks can present and should be promptly repaired. Complex or ruptured AAAs treated with off-label use of endografts should be under closer surveillance using imaging tools for potential endoleaks or aneurysm sac growth.
一名患有严重合并症的75岁患者因腹主动脉瘤（AAA）破裂接受了美敦力公司（美国）的Endurant II型腔内移植物治疗。经过四年无异常的随访后，发现双侧肢体分离。患者接受了血管腔内搭桥术，未出现任何并发症。尽管在新型移植物中很少检测到，但晚期双侧IIIa型内漏仍可能出现，应及时修复。使用未获批准的腔内移植物治疗复杂或破裂的AAA时，应使用成像工具进行密切监测，以发现潜在的内漏或动脉瘤囊生长情况。
