使用通气管技术对移植肾动脉吻合口假性动脉瘤进行血管内修复的回顾性评估。
Retrospective evaluation of the endovascular repair of the anastomotic pseudoaneurysm of the transplanted renal artery using the snorkel technique.
作者信息
Haijie Che, Fubo Song, Xiaoying Li, Ying Yu, Zenghui Pu
机构信息
Department of Vascular Surgery, YanTai Yuhuangding Hospital, YanTai, China.
Department of Respiratory Medicine, Yantai Hospital Affiliated to Binzhou Medical University, YanTai, China.
出版信息
Vascular. 2020 Aug;28(4):475-480. doi: 10.1177/1708538120910834. Epub 2020 Mar 25.
OBJECTIVE
To evaluate the endovascular repair of the transplanted renal artery anastomotic pseudoaneurysm using the snorkel technique.
METHODS
From April 2012 to December 2017, we performed endovascular repair in six patients, who were diagnosed with transplanted renal artery anastomotic pseudoaneurysm, using the snorkel technique. The "snorkel" stent and the "parallel" stent were placed in the transplanted kidney and the external iliac artery, respectively. Another covered stent was implanted at the proximal end of the external iliac artery to match the diameter of the iliac artery. Of the six patients, three patients recovered. Two patients experienced pseudoaneurysm rupture due to infection, and one patient developed stent thrombosis; all three patients underwent graft nephrectomy. The endovascular treatment of transplanted renal artery anastomotic pseudoaneurysm with the snorkel technique is a feasible method but needs to comply with certain indications.
目的
评估采用“通气管”技术对移植肾动脉吻合口假性动脉瘤进行血管腔内修复的效果。
方法
2012年4月至2017年12月，我们对6例诊断为移植肾动脉吻合口假性动脉瘤的患者采用“通气管”技术进行血管腔内修复。“通气管”支架和“平行”支架分别置于移植肾和髂外动脉。在髂外动脉近端植入另一个覆膜支架以匹配髂动脉直径。6例患者中，3例康复。2例患者因感染导致假性动脉瘤破裂，1例患者发生支架血栓形成；这3例患者均接受了移植肾切除术。采用“通气管”技术对移植肾动脉吻合口假性动脉瘤进行血管腔内治疗是一种可行的方法，但需要符合一定的适应证。
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