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血管内支架置入术治疗吻合口狭窄导致医源性股动脉假性动脉瘤:一种罕见并发症及其成功的外科治疗

An Iatrogenic Femoral Artery Pseudoaneurysm Caused by Endovascular Stenting for the Treatment of Anastomotic Stenosis: An Unusual Complication and its Successful Surgical Management.

作者信息

Velioglu Yusuf, Yuksel Ahmet

机构信息

Department of Cardiovascular Surgery, Abant Izzet Baysal University, Faculty of Medicine, Bolu, Turkey.

出版信息

J Coll Physicians Surg Pak. 2019 Sep;29(9):895-897. doi: 10.29271/jcpsp.2019.09.895.

Abstract

The incidence of iatrogenic femoral artery pseudoaneurysm (FAP) has dramatically increased due to marked increase of endovascular procedures in recent years. Once diagnosed, a prompt and optimal treatment should be done as soon as possible to avoid potential complications like thromboembolism, ischemia, rupture and bleeding. There are several treatment options for this disorder. Among them, open surgical repair is preferred when other therapeutic options fail. Here, we present a case of a large iatrogenic femoral artery pseudoaneurysm as a rare complication of endovascular stenting for the treatment of an anastomotic stenosis of previous bypass graft, which was successfully treated with open surgery.

摘要

近年来,由于血管内介入手术显著增加,医源性股动脉假性动脉瘤(FAP)的发生率急剧上升。一旦确诊,应尽快进行及时且最佳的治疗,以避免诸如血栓栓塞、缺血、破裂和出血等潜在并发症。针对这种疾病有多种治疗选择。其中,当其他治疗方法无效时,首选开放手术修复。在此,我们报告一例大型医源性股动脉假性动脉瘤病例,该病例是既往旁路移植吻合口狭窄行血管内支架置入术的罕见并发症,通过开放手术成功治愈。

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