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主动脉双髂动脉移植物异常复杂吻合口假性动脉瘤的血管腔内修复术。

Endovascular Repair of an Unusually Complex Anastomotic Pseudoaneurysm of an Aorto-Bisiliac Graft.

作者信息

Trentadue Mirko, Puppini Giovanni, Perandini Simone, Mezzetto Luca, Veraldi Gian Franco, Montemezzi Stefania

机构信息

Department of Radiology - Interventional Radiology Unit, University Hospital of Verona, Polo Chirurgico "P. Confortini", Verona, Italy.

Department of Vascular Surgery, University Hospital of Verona, Polo Chirurgico "P. Confortini", Verona, Italy.

出版信息

Pol J Radiol. 2017 May 1;82:244-247. doi: 10.12659/PJR.899825. eCollection 2017.

DOI:10.12659/PJR.899825
PMID:28533827
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5424651/
Abstract

BACKGROUND

Anastomotic pseudoaneurysm is an underestimated complication of aorto-iliac grafts.

CASE REPORT

This case report describes an unusual presentation of a pseudoaneurysm with a particularly complex anatomy involving both the left iliac branches, which hindered the interpretation of diagnostic studies and therapeutic management in a patient with multiple comorbidities.

CONCLUSIONS

The manuscript describes a successful management of such a complication by means of an elective endovascular approach.

摘要

背景

吻合口假性动脉瘤是主动脉-髂动脉移植术一种未得到充分重视的并发症。

病例报告

本病例报告描述了一例假性动脉瘤的不寻常表现，其解剖结构特别复杂，累及双侧髂动脉分支，这给一名患有多种合并症患者的诊断研究解读和治疗管理带来了困难。

结论

本文描述了通过选择性血管内入路成功处理此类并发症的情况。

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本文引用的文献

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Int Angiol. 2014 Aug;33(4):386-91.
2
Anastomotic aneurysms after arterial reconstructive operations--literature review.动脉重建手术后的吻合口动脉瘤——文献综述
Pol Przegl Chir. 2014 Jan;86(1):48-56. doi: 10.2478/pjs-2014-0009.
3
Huge anastomotic femoral pseudoaneurysm following aorto-bifemoral bypass.主动脉-双股动脉搭桥术后巨大的吻合口股动脉假性动脉瘤
BMJ Case Rep. 2011 Apr 9;2011:bcr0720103160. doi: 10.1136/bcr.07.2010.3160.
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The durability of endovascular repair of para-anastomotic aneurysms after previous open aortic reconstruction.既往开放主动脉重建术后吻合口旁动脉瘤血管内修复的耐久性。
J Vasc Surg. 2011 Dec;54(6):1571-8. doi: 10.1016/j.jvs.2011.04.072. Epub 2011 Sep 23.
5
Endovascular treatment for iliac artery pseudoaneurysm with arteriovenous fistula after abdominal aortic aneurysm open repair.腹主动脉瘤开放修复术后髂动脉假性动脉瘤伴动静脉瘘的血管内治疗
Clinics (Sao Paulo). 2011;66(8):1499-500. doi: 10.1590/s1807-59322011000800033.
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Endovascular treatment of anastomotic pseudoaneurysms after aorto-iliac surgical reconstruction.主-髂动脉手术重建术后吻合口假性动脉瘤的血管内治疗
Cardiovasc Intervent Radiol. 2007 Nov-Dec;30(6):1185-91. doi: 10.1007/s00270-007-9047-0.
7
Endovascular repair of paraanastomotic aneurysms after previous open aortic prosthetic reconstruction.既往开放性主动脉人工血管重建术后吻合口旁动脉瘤的血管腔内修复术。
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8
Endovascular treatment of anastomotic false aneurysms of the abdominal aorta.腹主动脉吻合口假性动脉瘤的血管内治疗
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