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支架移植物植入术及使用液体栓塞剂Onyx进行超选择性栓塞治疗医源性髂总动脉假性动脉瘤和持续性内漏

Stent Graft Implantation and Superselective Embolization with Liquid Embolic Agent, Onyx for Iatrogenic Common Iliac Artery Pseudoaneurysm and Persistant Endoleak.

作者信息

Kim Wonho, Choi Jinho

机构信息

Division of Cardiology, Eulji University Hospital, Daejeon, Korea.

Division of Thoracic and Cardiovascular Surgery, Eulji University Hospital, Eulji University School of Medicine, Daejeon, Korea.

出版信息

Vasc Specialist Int. 2019 Jun;35(2):101-104. doi: 10.5758/vsi.2019.35.2.101. Epub 2019 Jun 30.

DOI:10.5758/vsi.2019.35.2.101
PMID:31297360
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6609022/
Abstract

A 68-year-old male patient with a history of femoro-femoral bypass following unsuccessful intervention for chronic total iliac occlusion was found to have a saccular pseudoaneurysm of the right common iliac artery (CIA) due to interventional device-related injuries associated with the past endovascular intervention. An iatrogenic pseudoaneurysm in the CIA is generally asymptomatic, but it has a high risk of rupture, regardless of its size or symptoms. Endovascular therapy may be the best treatment option; however, ineffective sealing with a stent graft may lead to a type I endoleak. Under such conditions, use of the liquid embolic agent, Onyx, as a bailout solution for the type 1 endoleak is promising.

摘要

一名68岁男性患者，既往因慢性髂总动脉闭塞介入治疗失败而行股-股动脉搭桥术，现发现因既往血管内介入治疗相关的器械损伤导致右髂总动脉（CIA）出现囊状假性动脉瘤。CIA的医源性假性动脉瘤通常无症状，但无论其大小或有无症状，都有较高的破裂风险。血管内治疗可能是最佳治疗选择；然而，使用支架移植物进行封堵无效可能会导致I型内漏。在这种情况下，使用液体栓塞剂Onyx作为I型内漏的补救解决方案是有前景的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a38/6609022/80531731563e/vsi-35-101f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a38/6609022/9616b05c07ed/vsi-35-101f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a38/6609022/80531731563e/vsi-35-101f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a38/6609022/9616b05c07ed/vsi-35-101f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4a38/6609022/80531731563e/vsi-35-101f2.jpg

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本文引用的文献

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Onyx: a unique neuroembolic agent.奥尼克斯：一种独特的神经栓塞剂。
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Endovascular stent-graft applications in latrogenic vascular injuries.血管内支架移植物在医源性血管损伤中的应用。
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