Theodoridis Panagiotis G, Staramos Dimitrios N, Ptochis Nikolaos, Papailiou Ioannis A, Dodos Ilias, Iatrou Nikolaos, Potouridis Anastasios G, Dervisis Konstantinos
Department of Vascular Surgery, "Konstantopouleio" General Hospital of Nea Ionia, Athens, Greece.
Radiology Department, Division of Digital Subtraction Angiography, General Hospital of Athens "G. Gennimatas", Athens, Greece.
Case Rep Vasc Med. 2017;2017:8607437. doi: 10.1155/2017/8607437. Epub 2017 May 28.
Although endovascular aneurysm repair (EVAR) in the abdominal aorta has reduced the perioperative mortality when compared with open repair, the need for reintervention after complications such as endoleak may be presented in up to 20% of the cases. Type II endoleak from branch vessels is often benign but can potentially be associated with progressive abdominal aortic aneurysm growth and sac expansion. We present a rare case of a patient who presented with sac expansion and psoas hematoma due to Type II endoleak from "unusual" collaterals of IMA and was treated successfully with endoleak microembolization and percutaneous decompression of the hematoma.
尽管与开放修复相比，腹主动脉腔内动脉瘤修复术（EVAR）降低了围手术期死亡率，但在高达20%的病例中，可能会出现诸如内漏等并发症后需要再次干预的情况。来自分支血管的II型内漏通常是良性的，但可能与腹主动脉瘤的渐进性生长和瘤腔扩张有关。我们报告了一例罕见病例，该患者因来自肠系膜下动脉（IMA）“不寻常”侧支的II型内漏出现瘤腔扩张和腰大肌血肿，并通过内漏微栓塞和血肿的经皮减压成功治疗。
