采用“吻接支架移植物技术”修复无名动脉分叉处假性动脉瘤：1例病例报告
Innominate artery bifurcation pseudoaneurysm repair by "kissing stent-grafts technique": a case report.
作者信息
Li Xin, Shu Chang, Li Quan Ming, Fang Kun, Li Ming, Cai Wenwu
机构信息
Vascular Surgery Department, Second Xiangya Hospital, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China.
Vascular Disease Institute, Central South University, No. 139 Renmin Road, Chang Sha, Hunan, Changsha, 410011, People's Republic of China.
出版信息
J Med Case Rep. 2018 Nov 27;12(1):352. doi: 10.1186/s13256-018-1840-7.
BACKGROUND
We introduce the "kissing stent-grafts technique" for a patient who suffered from a pseudoaneurysm in bifurcation of innominate artery. This technique repaired an innominate artery bifurcation pseudoaneurysm; it successfully isolated the pseudoaneurysm and preserved both right subclavian and right common carotid artery.
CASE PRESENTATION
A 60-year-old Asian (Chinese) woman complained of discovering a cervical pulsatile mass. A pseudoaneurysm at the location of innominate artery bifurcation is a rare and difficult situation that should be treated by vascular surgeons. To our knowledge, this is the first case to use the "kissing stent-grafts technique" in treating innominate bifurcation pseudoaneurysm. With this minimally invasive endovascular treatment, our patient avoided open surgery and recovered quickly.
CONCLUSIONS
When treating vascular lesions with complicated anatomy, endovascular treatment always has the merit of being minimally invasive. "Kissing stent-grafts technique" can be useful in locations other than coronary and aortic bifurcation.
背景
我们为一名无名动脉分叉处患假性动脉瘤的患者引入了“吻接支架移植物技术”。该技术修复了无名动脉分叉处假性动脉瘤；成功隔离了假性动脉瘤并保留了右锁骨下动脉和右颈总动脉。
病例介绍
一名60岁的亚洲（中国）女性主诉发现颈部有搏动性肿块。无名动脉分叉处的假性动脉瘤是一种罕见且棘手的情况，应由血管外科医生进行治疗。据我们所知，这是首例使用“吻接支架移植物技术”治疗无名动脉分叉处假性动脉瘤的病例。通过这种微创血管内治疗，我们的患者避免了开放手术并迅速康复。
结论
在治疗解剖结构复杂的血管病变时，血管内治疗始终具有微创优势。“吻接支架移植物技术”在冠状动脉和主动脉分叉以外的部位可能也有用。
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