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经左腋动脉行顺行性胸段血管腔内主动脉修复术治疗主髂动脉闭塞性疾病（勒里什综合征）患者。

Antegrade thoracic endovascular aortic repair via the left axillary artery in a patient with aortoiliac occlusive disease (Leriche syndrome).

作者信息

Kamada Takeshi, Tanaka Ryoichi, Kin Hajime, Abiko Akihiko, Iwase Tomoyuki

机构信息

Department of Cardiovascular Surgery, Iwate Medical University Memorial Heart Center, 19-1 Uchimaru, Morioka, Iwate, 020-8505, Japan.

Department of Radiology, Iwate Medical University Memorial Heart Center, Morioka, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2019 Aug;67(8):715-719. doi: 10.1007/s11748-018-0955-5. Epub 2018 Jun 19.

DOI:10.1007/s11748-018-0955-5
PMID:29923082
Abstract

We present the case of a 77-year-old man with a saccular descending thoracic aortic aneurysm who underwent successful antegrade thoracic endovascular aortic repair (TEVAR) via the left axillary artery. The patient had a history of axillo-bifemoral bypass grafting due to aortoiliac occlusive disease (Leriche syndrome), which precluded normal retrograde TEVAR. Upon successful procedure completion, no endoleak was noted on postoperative computed tomography. The patient was discharged from the hospital without any complications. The left axillary artery is useful as an alternative access site in cases wherein conventional retrograde TEVAR is not feasible.

摘要

我们报告一例77岁男性患者，患有降主动脉囊状动脉瘤，通过左腋动脉成功进行了顺行性胸主动脉腔内修复术（TEVAR）。该患者因主髂动脉闭塞性疾病（勒里什综合征）曾行腋-双股旁路移植术，这使得常规逆行性TEVAR无法进行。手术成功完成后，术后计算机断层扫描未发现内漏。患者出院时无任何并发症。在传统逆行性TEVAR不可行的情况下，左腋动脉可作为替代入路部位。

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Surg Case Rep. 2017 Dec;3(1):48. doi: 10.1186/s40792-017-0324-0. Epub 2017 Mar 24.
2
Tips and tricks in vascular access for (T)EVAR.（经导管）腔内血管修复术（TEVAR）血管入路的技巧与窍门
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Direct Transaortic TEVAR: An Alternative Option for Selected Patients With Unsuitable Peripheral Access.
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