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在一名双侧髂外动脉闭塞患者中使用分叉型覆膜支架进行腹主动脉瘤的血管腔内修复。

Endovascular repair of an abdominal aortic aneurysm using bifurcated stent-graft in a patient with bilateral external iliac artery occlusion.

作者信息

Nabulsi Bilal, Bianchini Massoni Claudio, Tecchio Tiziano, Ucci Alessandro, Rossi Giulia, Perini Paolo, Azzarone Matteo, De Troia Alessandro, Freyrie Antonio

机构信息

Department: Vascular Surgery - Department of Surgical Sciences Institution: Azienda Ospedaliero-Universitaria di Parma Via Gramsci 14 - 43126 Parma (PR) Country: Italy.

出版信息

Acta Biomed. 2019 Jan 24;90(1):122-126. doi: 10.23750/abm.v90i1.6605.

DOI:10.23750/abm.v90i1.6605
PMID:30889166
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6502168/
Abstract

Abdominal aortic aneurysm (AAA) in association with external iliac artery (EIA) occlusion is a rare entity which may limit endovascular aortic aneurysm repair (EVAR) feasibility. We describe the case of an 84-year-old man affected by a 64mm infrarenal inflammatory abdominal aortic aneurysm with complete bilateral occlusion of EIA and patency of both common and internal iliac arteries. The common femoral arteries (CFA) were patent, and the patient was asymptomatic for lower limb claudication. The treatment was performed by EVAR using a bifurcated stent-graft after the recanalization of the left EIA, achieving technical success.

摘要

腹主动脉瘤（AAA）合并髂外动脉（EIA）闭塞是一种罕见情况，可能会限制血管内腹主动脉瘤修复术（EVAR）的可行性。我们描述了一名84岁男性的病例，他患有一个64毫米的肾下炎性腹主动脉瘤，双侧EIA完全闭塞，双侧髂总动脉和髂内动脉通畅。双侧股总动脉（CFA）通畅，患者无下肢间歇性跛行症状。在左EIA再通后，采用分叉型覆膜支架通过EVAR进行治疗，取得了技术成功。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/6502168/a6d3e5009840/ACTA-90-122-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/6502168/b993aeffef4f/ACTA-90-122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/6502168/67c41e8e6e67/ACTA-90-122-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/6502168/2e8cbade332c/ACTA-90-122-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/6502168/cc32a937bec2/ACTA-90-122-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/6502168/a6d3e5009840/ACTA-90-122-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/6502168/b993aeffef4f/ACTA-90-122-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/6502168/67c41e8e6e67/ACTA-90-122-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/6502168/2e8cbade332c/ACTA-90-122-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/6502168/cc32a937bec2/ACTA-90-122-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0741/6502168/a6d3e5009840/ACTA-90-122-g005.jpg

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本文引用的文献

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J Vasc Surg. 2012 Dec;56(6):1549-54; discussion 1554. doi: 10.1016/j.jvs.2012.05.089. Epub 2012 Sep 7.
2
Use of internal endoconduits as an adjunct to endovascular aneurysm repair in the setting of challenging aortoiliac anatomy.在具有挑战性的主髂动脉解剖结构情况下，使用内部导管作为血管内动脉瘤修复的辅助手段。
Ann Vasc Surg. 2010 Jan;24(1):114.e7-114.e11. doi: 10.1016/j.avsg.2009.06.016. Epub 2009 Sep 11.
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A comparison of the mid-term results following the use of bifurcated and aorto-uni-iliac devices in the treatment of abdominal aortic aneurysms.
分叉型和主动脉-单侧髂动脉装置用于治疗腹主动脉瘤的中期结果比较。
Eur J Vasc Endovasc Surg. 2009 Sep;38(3):298-304. doi: 10.1016/j.ejvs.2009.06.004. Epub 2009 Jul 16.
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EVAR in iliac occlusion.髂动脉闭塞时的腔内血管修复术
J Endovasc Ther. 2007 Feb;14(1):59-61. doi: 10.1583/06-1925.1.
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A randomized trial comparing conventional and endovascular repair of abdominal aortic aneurysms.一项比较腹主动脉瘤传统修复术与血管腔内修复术的随机试验。
N Engl J Med. 2004 Oct 14;351(16):1607-18. doi: 10.1056/NEJMoa042002.
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How many patients with infrarenal aneurysms are candidates for endovascular repair? The Northern California experience.有多少例肾下动脉瘤患者适合接受血管内修复术？北加利福尼亚的经验。
J Endovasc Ther. 2004 Feb;11(1):33-40. doi: 10.1177/152660280401100104.
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Is cross-femoral bypass grafting a disadvantage of aortomonoiliac endovascular aortic aneurysm repair?股动脉交叉旁路移植术是主动脉单髂动脉腔内修复术治疗腹主动脉瘤的一个缺点吗？
J Vasc Surg. 2003 Oct;38(4):753-7. doi: 10.1016/s0741-5214(03)00721-3.
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J Vasc Surg. 2001 Jul;34(1):69-75. doi: 10.1067/mva.2001.116005.
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