Oliveira Fábio Augusto Cypreste, Amorelli Carlos Eduardo de Sousa, Campedelli Fábio Lemos, Heckmann Davi, Barreto Juliana Caetano, Amorelli Maria Cunha Ribeiro, Campedelli Ana Flávia Guerra, da Silva Philippe Moreira
Hospital São Francisco de Assis, Serviço de Angiologia, Cirurgia Vascular, Endovascular e Laserterapia - AngioGyn, Goiânia, GO, Brasil.
CENTERVASC-Rio, Cirurgia Vascular, Rio de Janeiro, RJ, Brasil.
J Vasc Bras. 2017 Jan-Mar;16(1):63-67. doi: 10.1590/1677-5449.011116.
Aortoiliac aneurysms are particularly challenging to treat using a totally endovascular approach, because embolization of the internal iliac arteries can cause major complications. Several conventional and endovascular surgical techniques have been described that offer preservation of at least one internal iliac branch and options for completely endovascular treatment include branched stentgrafts and the parallel grafts technique. Here, the authors report the first case of endovascular treatment with preservation of an internal iliac branch using a Brazilian iliac branch device.
使用完全血管内治疗方法治疗主髂动脉瘤具有特别的挑战性,因为栓塞髂内动脉可能会导致严重并发症。已经描述了几种传统的和血管内手术技术,这些技术可保留至少一支髂内分支,完全血管内治疗的选择包括分支型支架移植物和平行移植物技术。在此,作者报告了首例使用巴西髂分支装置保留髂内分支的血管内治疗病例。