El Dassouki Saleh, Alrifai Abdulah, Lardizabal Joel A, Zambrano Juan Pablo
Jackson Memorial Hospital/University of Miami, Miller School of Medicine, Division of Cardiovascular Medicine, United States.
University of Miami/JFK Medical Center, United States.
Cardiovasc Revasc Med. 2018 Dec;19(8S):44-46. doi: 10.1016/j.carrev.2018.05.002. Epub 2018 May 15.
Atherosclerotic disease of the abdominal aorta is relatively common. However chronic stenosis of the infrarenal aorta is a fairly rare condition that has been traditionally treated with open endarterectomy and aorto-bifemoral bypass surgery. These surgeries may be associated with a significant increase in mortality and morbidity. Using 2 case examples we describe the feasibility of endovascular treatment of severely calcified infra-abdominal aortic lesion using a transradial endovascular approach that greatly reduce both vascular and access site complications.
腹主动脉粥样硬化疾病相对常见。然而，肾下腹主动脉慢性狭窄是一种相当罕见的病症，传统上采用开放性动脉内膜切除术和主动脉-双股动脉搭桥手术进行治疗。这些手术可能会使死亡率和发病率显著增加。我们通过两个病例，描述了采用经桡动脉血管内入路对严重钙化的腹主动脉下段病变进行血管内治疗的可行性，该方法可大大减少血管和穿刺部位并发症。
