血管内修复血管内动脉瘤修复后晚期 IIIb 型内漏：1 例报告。
Endovascular repair of late type IIIb endoleak after endovascular aneurysm repair: a case report.
机构信息
Department of Vascular Surgery, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing, China.
出版信息
BMC Cardiovasc Disord. 2019 Aug 1;19(1):183. doi: 10.1186/s12872-019-1138-8.
BACKGROUND
Type IIIb endoleak is a rare complication after endovascular aneurysm repair (EVAR) and the understanding of type IIIb endoleak is insufficient.
CASE PRESENTATION
Three elderly patients with previously successfully performed EVARs were sent to our center due to abdominal pain and diagnosed with late type IIIb endoleak. The type IIIb endoleak fabric tears were closed with cuffs or stents by endovascular retreatment. The patients recovered adequately and were discharged from hospital.
CONCLUSIONS
Endovascular repair with empirical relining could be a good choice for treatment of late type IIIb endoleak with good prognosis.
背景
IIIb 型内漏是血管内动脉瘤修复（EVAR）后的一种罕见并发症，对 IIIb 型内漏的认识还不够充分。
病例介绍
3 名老年患者曾成功接受 EVAR 治疗，因腹痛被送到我院，并被诊断为晚期 IIIb 型内漏。通过血管内再治疗用套环或支架封闭 IIIb 型内漏的撕裂处。患者恢复良好并出院。
结论
对于晚期 IIIb 型内漏，经验性内补片修复可能是一种较好的治疗选择，预后良好。
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