Ochiumi Yusuke, Suzuki Yoriyasu, Oba Yasuhiro
Department of Cardiology, Nagoya Heart Center, Japan.
Intern Med. 2017 Sep 15;56(18):2441-2443. doi: 10.2169/internalmedicine.8675-16. Epub 2017 Aug 21.
A 70-year-old man, who had undergone the placement of an endovascular aneurysm repair graft for an abdominal aortic aneurysm 7 years previously, presented to our facility with the separation of a left iliac stent-graft limb from the main-body stent-graft, resulting in a type III endoleak. An attempt was made to repair the disconnected stent-graft limb with endovascular intervention. An extension stent-graft was successfully deployed using a pulled-through technique to connect the main-body stent-graft with the disconnected stent-graft limb. Endovascular intervention may be an acceptable treatment for type III endoleaks.
一名70岁男性,7年前因腹主动脉瘤接受了血管内动脉瘤修复移植物置入术,现因左髂部支架移植物分支与主体支架移植物分离,导致III型内漏,前来我院就诊。尝试通过血管内介入修复断开的支架移植物分支。采用拉入技术成功植入了一个延长支架移植物,将主体支架移植物与断开的支架移植物分支连接起来。血管内介入可能是治疗III型内漏的一种可接受的方法。