Song Xitao, Zheng Yuehong, Zhou Menxin, Chen Yuexin
Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Department of Vascular Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences, Beijing, China.
Ann Vasc Surg. 2020 Aug;67:566.e11-566.e15. doi: 10.1016/j.avsg.2020.03.048. Epub 2020 Apr 24.
The endovascular repair of subclavian aneurysms or pseudoaneurysms is now widely adopted. However, controversies still prevail in the management of dominant vertebral arteries originating close to aneurysms, as coverage of the vertebral artery might be complicated by either endoleaks or ischemic events. Here, we present a rare case of multiple aneurysmal lesions involving the right subclavian artery and bilateral internal carotid arteries treated by way of a total endovascular method using parallel stent grafts for the simultaneous exclusion of a subclavian artery pseudoaneurysm and flow preservation of the adjacent vertebral artery. To the best of our knowledge, this is the first study to report the use of this technique for the endovascular repair of juxta-vertebral subclavian artery pseudoaneurysms.
目前，锁骨下动脉瘤或假性动脉瘤的血管内修复术已被广泛采用。然而，对于起源于动脉瘤附近的优势椎动脉的处理仍存在争议，因为椎动脉的覆盖可能会因内漏或缺血事件而变得复杂。在此，我们报告一例罕见病例，该病例为累及右锁骨下动脉和双侧颈内动脉的多发性动脉瘤病变，采用平行支架型人工血管的全血管内方法进行治疗，以同时排除锁骨下动脉假性动脉瘤并保留相邻椎动脉的血流。据我们所知，这是首次报道使用该技术进行近椎动脉锁骨下动脉假性动脉瘤的血管内修复。
