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断开的覆膜支架分支的Ⅲ型内漏

Type III Endoleak of a Disconnected Stent-graft Limb.

作者信息

Ochiumi Yusuke, Suzuki Yoriyasu, Oba Yasuhiro

机构信息

Department of Cardiology, Nagoya Heart Center, Japan.

出版信息

Intern Med. 2017 Sep 15;56(18):2441-2443. doi: 10.2169/internalmedicine.8675-16. Epub 2017 Aug 21.

DOI:10.2169/internalmedicine.8675-16
PMID:28824074
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5643171/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e1/5643171/0f055cf27038/1349-7235-56-2441-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e1/5643171/eb5eee23db5a/1349-7235-56-2441-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e1/5643171/0f055cf27038/1349-7235-56-2441-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e1/5643171/eb5eee23db5a/1349-7235-56-2441-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/68e1/5643171/0f055cf27038/1349-7235-56-2441-g002.jpg

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本文引用的文献

1
Treatment options for late type III endoleaks after endovascular aneurysm repair.血管内动脉瘤修复术后晚期Ⅲ型内漏的治疗选择。
Ann Vasc Surg. 2015 Apr;29(3):594.e5-9. doi: 10.1016/j.avsg.2014.10.032. Epub 2015 Jan 15.
2
Repair of a disconnected stent-graft limb facilitated by in situ fenestration.原位开窗术辅助修复断开的支架移植物分支
J Endovasc Ther. 2012 Jun;19(3):434-8. doi: 10.1583/11-3574MR.1.
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Long-term results after endovascular abdominal aortic aneurysm repair using the Cook Zenith endograft.采用库克 Zenith 血管内腹主动脉瘤修复术的长期结果。
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6
Nature and significance of endoleaks and endotension: summary of opinions expressed at an international conference.内漏和内张力的本质与意义：国际会议上表达的观点综述
J Vasc Surg. 2002 May;35(5):1029-35. doi: 10.1067/mva.2002.123095.