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血管内动脉瘤修复术合并Ia型内漏及疑似感染，采用开窗型血管内移植物治疗。

Endovascular Aneurysm Repair Complicated with Type Ia Endoleak and Presumable Infection Treated with a Fenestrated Endograft.

作者信息

de Niet Arne, van Schaik Paul M, Saleem Ben R, Zeebregts Clark J, Tielliu Ignace F J

机构信息

Division of Vascular Surgery, Department of Surgery, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands.

出版信息

Aorta (Stamford). 2018 Aug;6(4):102-106. doi: 10.1055/s-0039-1681067. Epub 2019 Mar 8.

DOI:10.1055/s-0039-1681067
PMID:30849778
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6408243/
Abstract

An 81-year-old patient presented to the emergency room 5 years after infrarenal endovascular aneurysm repair, with a Type Ia endoleak and a presumable infection of the graft material with . He was treated with a custom-made fenestrated endograft to seal the endoleak and lifelong antibiotic therapy to suppress the infection. Full explantation of graft material is not always preferable, and endovascular treatment combined with antibiotic suppressive therapy is in some cases an appropriate alternative.

摘要

一名81岁患者在肾下型血管内动脉瘤修复术后5年就诊于急诊室，存在Ia型内漏且推测移植物材料感染。他接受了定制开窗型腔内移植物治疗以封闭内漏，并接受终身抗生素治疗以抑制感染。并非总是首选完全取出移植物材料，在某些情况下，血管内治疗联合抗生素抑制治疗是一种合适的替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ed/6408243/504a63d38895/10-1055-s-0039-1681067-i180012-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ed/6408243/c1cf0e1c09ba/10-1055-s-0039-1681067-i180012-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ed/6408243/8e9bb29aac5a/10-1055-s-0039-1681067-i180012-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ed/6408243/504a63d38895/10-1055-s-0039-1681067-i180012-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ed/6408243/c1cf0e1c09ba/10-1055-s-0039-1681067-i180012-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ed/6408243/8e9bb29aac5a/10-1055-s-0039-1681067-i180012-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/55ed/6408243/504a63d38895/10-1055-s-0039-1681067-i180012-3.jpg

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Endograft Infection After Endovascular Abdominal Aortic Aneurysm Repair: A Systematic Review and Meta-analysis.血管内腹主动脉瘤修复术后移植物感染：系统评价和荟萃分析。
J Endovasc Ther. 2017 Oct;24(5):688-697. doi: 10.1177/1526602817722018. Epub 2017 Jul 31.
2
Rescue of failed endovascular aortic aneurysm repair using the fenestrated Anaconda device.使用开窗型Anaconda装置挽救失败的血管腔内主动脉瘤修复术。
J Vasc Surg. 2017 Nov;66(5):1334-1339. doi: 10.1016/j.jvs.2017.02.048. Epub 2017 May 27.
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A multicenter experience with infected abdominal aortic endograft explantation.
感染性腹主动脉内移植物取出术的多中心经验
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Predictors and outcomes of endoleaks in the Veterans Affairs Open Versus Endovascular Repair (OVER) Trial of Abdominal Aortic Aneurysms.退伍军人事务部腹主动脉瘤开放与血管内修复（OVER）试验中内漏的预测因素和结果
J Vasc Surg. 2015 Dec;62(6):1394-404. doi: 10.1016/j.jvs.2015.02.003.
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Systematic review and meta-analysis of migration after endovascular abdominal aortic aneurysm repair.腹主动脉瘤腔内修复术后移植物移位的系统评价与Meta分析
Vascular. 2016 Jun;24(3):323-36. doi: 10.1177/1708538115590065. Epub 2015 Jun 8.
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18F-Fluorodeoxyglucose positron emission tomography/CT scanning in diagnosing vascular prosthetic graft infection.18F-氟脱氧葡萄糖正电子发射断层扫描/计算机断层扫描在诊断人工血管移植物感染中的应用
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The management of endograft infections following endovascular thoracic and abdominal aneurysm repair.胸腹部血管内动脉瘤修复术后带血管移植物感染的管理。
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The relevance of aortic endograft prosthetic infection.主动脉内移植物假体感染的相关性。
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