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腹主动脉夹层的误诊：使用Nellix血管内动脉瘤封闭系统的影像表现

Misdiagnosis of abdominal aortic dissection: image findings with the Nellix endovascular aneurysm sealing system.

作者信息

de Souza Peter James, Rodway Alexander, Pankhania Ajay

机构信息

East Surrey Hospital, Redhill, UK.

Department of Vascular Surgery, East Surrey Hospital, Redhill, UK.

出版信息

BJR Case Rep. 2016 May 19;2(2):20150318. doi: 10.1259/bjrcr.20150318. eCollection 2016.

DOI:10.1259/bjrcr.20150318
PMID:30363652
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6180861/
Abstract

The Nellix endovascular aneurysm sealing system is a relatively new aortic endoprosthesis designed to overcome the problems associated with traditional methods of endovascular aneurysm repair. We report a case in which a 65-year-old male with abdominal pain was mistakenly diagnosed with an acute aortic dissection 7 days postoperatively after Nellix stent insertion, on the basis of the CT angiography findings. This report highlights the typical radiological appearances of the Nellix stent.

摘要

内利克斯血管内动脉瘤封堵系统是一种相对较新的主动脉内假体，旨在克服与传统血管内动脉瘤修复方法相关的问题。我们报告了一例病例，一名65岁男性在植入内利克斯支架术后7天因腹痛被误诊为急性主动脉夹层，诊断依据是CT血管造影结果。本报告重点介绍了内利克斯支架的典型影像学表现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca7d/6180861/b8d9d3a98df8/bjrcr.20150318.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca7d/6180861/9f1e3950c53a/bjrcr.20150318.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca7d/6180861/f029e10513c6/bjrcr.20150318.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca7d/6180861/b8d9d3a98df8/bjrcr.20150318.g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca7d/6180861/9f1e3950c53a/bjrcr.20150318.g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca7d/6180861/f029e10513c6/bjrcr.20150318.g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ca7d/6180861/b8d9d3a98df8/bjrcr.20150318.g003.jpg

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本文引用的文献

1
Appearance of the Nellix endovascular aneurysm sealing system on computed tomography: implications for postoperative imaging surveillance.
J Endovasc Ther. 2015 Jun;22(3):297-302. doi: 10.1177/1526602815583455.
2
Endovascular aneurysm sealing for juxtarenal aneurysm using the Nellix device and chimney covered stents.使用 Nellix 装置和烟囱式覆膜支架进行肾周动脉瘤的血管内动脉瘤封堵术。
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Endovascular repair of abdominal aortic aneurysm.腹主动脉瘤的血管内修复术。
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Fenestrated endovascular aneurysm repair.开窗型血管内动脉瘤修复术。
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EVAR using the Nellix Sac-anchoring endoprosthesis: treatment of favourable and adverse anatomy.Nellix 腹主动脉瘤覆膜支架系统腔内修复术：治疗有利和不利解剖结构。
Eur J Vasc Endovasc Surg. 2011 Jul;42(1):38-46. doi: 10.1016/j.ejvs.2011.03.007. Epub 2011 Apr 15.
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Complications after endovascular aneurysm repair.血管内动脉瘤修复术后并发症。
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7
The chimney graft: a technique for preserving or rescuing aortic branch vessels in stent-graft sealing zones.烟囱移植物：一种在支架型人工血管密封区域保留或挽救主动脉分支血管的技术。
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8
Endoleak--a proposed new terminology to describe incomplete aneurysm exclusion by an endoluminal graft.
J Endovasc Surg. 1996 Feb;3(1):124-5. doi: 10.1583/1074-6218(1996)003<0124b:>2.0.CO;2.
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Transfemoral intraluminal graft implantation for abdominal aortic aneurysms.经股动脉腔内移植物植入治疗腹主动脉瘤
Ann Vasc Surg. 1991 Nov;5(6):491-9. doi: 10.1007/BF02015271.