支架置入术后并发症所致同时性髂动脉和股浅动脉假性动脉瘤的血管内治疗
Endovascular Treatment of Simultaneous Iliac and Superficial Femoral Arterial Pseudoaneurysms After Stenting Procedure Complications.
作者信息
Cangiano Gianluca, Corvino Fabio, Giurazza Francesco, Silvestre Mattia, Amodio Francesco, Corvino Antonio, Niola Raffaella
机构信息
1 Interventional Radiology Department, AORN "A. Cardarelli," Naples, Italy.
2 Department of Radiology, University of Naples Parthenope, Naples, Italy.
出版信息
Vasc Endovascular Surg. 2019 Feb;53(2):160-164. doi: 10.1177/1538574418805588. Epub 2018 Oct 9.
PURPOSE
: To report on the endovascular management of a patient affected by concomitant left common iliac artery and right superficial femoral artery (SFA) pseudoaneurysms after stent positioning.
CASE REPORT
: A 77-year-old man affected by severe lower limb atherosclerosis was previously treated with iliac and femoropopliteal Supera stenting procedures; he presented to our emergency department because of bilateral severe claudication recurrence, back pain, and right groin region swelling. Angio-computed tomography (CT) depicted 2 pseudoaneurysms of the left common iliac artery and right SFA, due to stent fracture and stent intussusception, respectively. A 2-step endovascular treatment was planned using bilaterally covered stent-grafts to exclude vascular lesions from blood flow. The devices were successfully deployed without any complication. At 1 month, angio-CT confirmed patency of the implanted stent-grafts showing complete pseudoaneurysm exclusion without leaks.
CONCLUSION
: Endovascular approach can be a valid option in the treatment of pseudoaneurysms due to stenting procedure complications.
目的
报告1例支架置入术后并发左髂总动脉和右股浅动脉假性动脉瘤患者的血管内治疗情况。
病例报告
1例77岁男性，患有严重下肢动脉粥样硬化，此前接受过髂动脉和股腘动脉Supera支架置入术；因双侧严重间歇性跛行复发、背痛和右腹股沟区肿胀就诊于我院急诊科。血管计算机断层扫描（CT）显示左髂总动脉和右股浅动脉各有1个假性动脉瘤，分别由支架断裂和支架套叠引起。计划采用双侧带膜支架型人工血管进行两步血管内治疗，以将血管病变排除在血流之外。手术成功植入器械，无任何并发症。1个月时，血管CT证实植入的支架型人工血管通畅，假性动脉瘤完全排除，无渗漏。
结论
血管内治疗可作为治疗支架置入术并发症所致假性动脉瘤的有效选择。
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