Tashima Yasushi, Tamai Koichi, Shirasugi Takehiro, Sato Kenichiro, Yamamoto Takahiro, Imamura Yusuke, Yamaguchi Atsushi, Adachi Hideo, Kobinata Toshiyuki
Department of Cardiovascular Surgery, Kasukabe Chuo General Hospital, Kasukabe, Japan.
Department of Cardiovascular Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Ann Vasc Dis. 2017 Sep 25;10(3):265-9. doi: 10.3400/avd.cr.17-00007.
A 69-year-old man with a type IA endoleak that developed approximately 21 months after endovascular abdominal aortic aneurysm repair (EVAR) of a 46 mm diameter aneurysm was referred to our department. He had impaired renal function, Parkinson's disease, and previous cerebral infarction. Computed tomography angiography showed a type IA endoleak with neck dilatation and that the aneurysm had grown to 60 mm in diameter. We decided to perform aortic banding. The type IA endoleak disappeared after banding and the patient was discharged on postoperative day 10. Aortic banding may be effective for type IA endoleak after EVAR and less invasive for high-risk patients in particular.
一名69岁男性，在接受直径46毫米腹主动脉瘤的血管内修复术（EVAR）后约21个月出现IA型内漏，被转诊至我科。他有肾功能损害、帕金森病和既往脑梗死病史。计算机断层血管造影显示为IA型内漏伴颈部扩张，且动脉瘤直径已增大至60毫米。我们决定进行主动脉束带术。束带术后IA型内漏消失，患者于术后第10天出院。主动脉束带术对于EVAR术后的IA型内漏可能有效，尤其对高危患者侵袭性较小。
