Liu Sophia Y, Hackett Anthony
Carl R. Darnall Army Medical Center, Department of Emergency Medicine, Fort Hood, Texas.
Clin Pract Cases Emerg Med. 2020 Jan 2;4(1):94-95. doi: 10.5811/cpcem.2019.10.43623. eCollection 2020 Feb.
As hypertension, obesity, and hyperlipidemia become more widespread, the prevalence of abdominal aortic aneurysms (AAA) has also increased.1 Traditionally those with multiple comorbidities - also those with greatest AAA mortality - were considered too high risk for operative repair. In recent decades, however, endovascular abdominal aortic aneurysm repair (EVAR) has become a popular option, especially for high-risk patients. Overall, short-term outcomes are comparable to traditional open repair despite higher patient baseline risk. However, EVAR comes with its own risks, which the emergency physician should be aware of. Here, we present a rare complication of EVAR: device thrombosis with subsequent renal infarct.
随着高血压、肥胖和高脂血症越来越普遍，腹主动脉瘤（AAA）的患病率也有所上升。1传统上，那些患有多种合并症的患者——也是AAA死亡率最高的患者——被认为手术修复风险过高。然而，在最近几十年里，血管内腹主动脉瘤修复术（EVAR）已成为一种流行的选择，尤其是对于高危患者。总体而言，尽管患者基线风险较高，但短期结果与传统开放修复相当。然而，EVAR也有其自身的风险，急诊医生应该对此有所了解。在此，我们介绍一种罕见的EVAR并发症：器械血栓形成并继发肾梗死。
