Georgakarakos Efstratios, Koutsoumpelis Andreas, Popidis Stefanos, Tasopoulou Kalliopi-Maria, Georgiadis George S
Democritus University of Thrace, Department of Vascular Surgery, University Hospital of Alexandroupolis, Alexandroupolis, Greece.
Democritus University of Thrace, Department of Vascular Surgery, University Hospital of Alexandroupolis, Alexandroupolis, Greece.
Ann Vasc Surg. 2019 Apr;56:345-349. doi: 10.1016/j.avsg.2018.08.101. Epub 2018 Nov 26.
A 71-year old man with previous thoracic aneurysm endovascular repair and endovascular abdominal aneurysm repair presented with simultaneous type III endoleak from the thoracic components and type Ia endoleak from migration of the abdominal endograft, leading to enlargement of both aneurysms. A custom-made reverse tapered Relay NBS thoracic endograft was used to bridge the thoracic stent grafts. While a low-flow type III endoleak persisted in the immediate postoperative phase, because of incomplete apposition of the new stent graft, further deployment of its nitinol skeleton resulted in resolution of the endoleak at 1-week follow-up. The abdominal aneurysm enlargement was corrected via excision of the central segment of the abdominal endograft, preservation of the distal main body and limbs, and interposition of a short Dacron tube graft.
一名71岁男性，既往有胸主动脉瘤腔内修复术和腹主动脉瘤腔内修复术史，现出现胸段组件的III型内漏和腹段移植物移位导致的Ia型内漏，致使两个动脉瘤均增大。使用定制的反向锥形Relay NBS胸段移植物来连接胸段支架型人工血管。术后即刻仍存在低流量III型内漏，原因是新的支架型人工血管贴合不完全，其镍钛诺支架进一步展开后，在1周随访时内漏消失。通过切除腹段移植物的中央部分、保留远端主体和分支，并置入一段短的涤纶人工血管来纠正腹主动脉瘤的增大。
