Rynio Pawel, Kazimierczak Arkadiusz, Gutowski Piotr, Cnotliwy Miloslaw
Department of Vascular Surgery, Pomeranian Medical University, Szczecin, Poland.
Wideochir Inne Tech Maloinwazyjne. 2017 Jun;12(2):194-198. doi: 10.5114/wiitm.2017.67677. Epub 2017 May 12.
Giant-cell arteritis is associated with a higher risk of aortic aneurysm and aortic dissection formation. We present a women with aortic dissection type B treated with a stent graft and bare-metal stent implantation. After the stent deployment we noticed aortic rupture, which was successfully treated with implantation of an additional stent graft. This report highlights the difficulty of endovascular therapy in patients with giant-cell arteritis. We have to bear in mind that chronic inflammation of the aorta leads to a more fragile aortic wall than normal. We recommend the use of a stent graft over a bare-metal stent and gentle use of a balloon catheter.
巨细胞动脉炎与主动脉瘤和主动脉夹层形成的风险较高相关。我们报告了一名接受支架移植物和裸金属支架植入治疗的B型主动脉夹层女性患者。在支架置入后，我们注意到主动脉破裂，通过植入额外的支架移植物成功治疗。本报告强调了巨细胞动脉炎患者血管内治疗的困难。我们必须牢记，主动脉的慢性炎症会导致主动脉壁比正常情况更脆弱。我们建议使用支架移植物而非裸金属支架，并轻柔使用球囊导管。
