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腹主动脉瘤血管腔内修复术后因移植物侵蚀导致的迟发性Ⅲ型内漏

Delayed Type III Endoleak Caused by Fabric Erosion after Endovascular Repair of an Abdominal Aortic Aneurysm.

作者信息

Lee Jae Hang, Kim Eung-Joong, Choi Jin-Ho

机构信息

Department of Thoracic and Cardiovascular Surgery, Dongguk University Ilsan Hospital.

出版信息

Korean J Thorac Cardiovasc Surg. 2017 Aug;50(4):291-294. doi: 10.5090/kjtcs.2017.50.4.291. Epub 2017 Aug 5.

DOI:10.5090/kjtcs.2017.50.4.291
PMID:28795036
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5548207/
Abstract

A 74-year-old patient presented with recurrent aneurysms in the infrarenal abdominal aorta and right common iliac artery 6 years after endovascular aortic repair using endografts in the same location. The patient underwent an aorto-bi-iliac replacement with removal of the stent graft. Two holes measuring 2 mm each were found in the removed graft, and they appeared to have been caused by wear from continuous friction between the endograft and the aortic wall.

摘要

一名74岁患者在同一部位使用血管内移植物进行腹主动脉腔内修复术后6年，出现肾下腹主动脉和右髂总动脉复发性动脉瘤。该患者接受了主动脉-双髂动脉置换术并移除了支架型人工血管。在移除的人工血管上发现了两个直径均为2毫米的洞，这些洞似乎是由支架型人工血管与主动脉壁之间持续摩擦造成的磨损所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a229/5548207/3c9f46ddb396/kjtcv-50-291f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a229/5548207/61b7261eb070/kjtcv-50-291f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a229/5548207/c154f609aa25/kjtcv-50-291f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a229/5548207/3c9f46ddb396/kjtcv-50-291f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a229/5548207/61b7261eb070/kjtcv-50-291f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a229/5548207/c154f609aa25/kjtcv-50-291f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a229/5548207/3c9f46ddb396/kjtcv-50-291f3.jpg

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本文引用的文献

1
First report of a late type III endoleak from fabric tears of a Zenith stent graft.关于Zenith覆膜支架移植物织物撕裂导致迟发型III型内漏的首例报告。
J Vasc Surg. 2008 Sep;48(3):723-6. doi: 10.1016/j.jvs.2008.03.047.
2
Late type III endoleak from graft erosion of an Excluder stent graft: a case report.Excluder覆膜支架移植物侵蚀导致的晚期III型内漏：一例报告
J Vasc Surg. 2006 Jul;44(1):183-5. doi: 10.1016/j.jvs.2006.02.043.
3
Comparison of endovascular aneurysm repair with open repair in patients with abdominal aortic aneurysm (EVAR trial 1), 30-day operative mortality results: randomised controlled trial.
腹主动脉瘤患者血管内动脉瘤修复术与开放修复术的比较（EVAR试验1），30天手术死亡率结果：随机对照试验
Lancet. 2004;364(9437):843-8. doi: 10.1016/S0140-6736(04)16979-1.
4
Fabric tears as a new cause of type III endoleak with Ancure endograft.
J Vasc Surg. 2003 Oct;38(4):843-6. doi: 10.1016/s0741-5214(03)00416-6.