Iida Yasunori, Osumi Koji, Koganei Hiroshi
Department of Cardiovascular Surgery, Ogikubo Hospital, Tokyo, Japan.
Department of Surgery, Ogikubo Hospital, Tokyo, Japan.
Ann Vasc Surg. 2019 Jul;58:385.e7-385.e9. doi: 10.1016/j.avsg.2018.11.009. Epub 2019 Feb 11.
An 87-year-old man with severe intermittent claudication and lower limb pain at rest was referred to our hospital for examination. Computed tomography (CT) angiography imaging showed a severe stenosis in the infrarenal abdominal aorta. The ankle brachial indices (ABIs) were 0.62 (right) and 0.60 (left). Endovascular aortic repair was performed with distal protection. The postoperative course was uneventful, and postoperative CT showed no stenosis or distal embolization. The ABI improved to the normal values of 1.02 (right) and 1.13 (left). The patient was followed up as an outpatient without a cane. Long-term follow-up and randomized controlled trials are necessary to clarify the durability and efficacy of the endovascular approach for this aortic pathology.
一名87岁男性，患有严重间歇性跛行和静息时下肢疼痛，被转诊至我院检查。计算机断层扫描（CT）血管造影成像显示肾下腹主动脉严重狭窄。踝肱指数（ABI）分别为右侧0.62和左侧0.60。采用远端保护进行了血管腔内主动脉修复术。术后过程顺利，术后CT显示无狭窄或远端栓塞。ABI改善至右侧1.02和左侧1.13的正常数值。患者作为门诊病人随访，无需拄拐。需要进行长期随访和随机对照试验，以阐明这种血管腔内治疗方法对这种主动脉病变的耐久性和疗效。
