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用于珊瑚礁样主动脉的球囊可扩张支架移植物。

Balloon-expandable stent graft for coral reef aorta.

作者信息

Isoda Ryutaro, Morita Ichiro, Mano Masayuki, Ishida Atsuhisa

机构信息

Department of Surgery, Kawasaki Medical School General Medical Center, Okayama City, Okayama, Japan.

出版信息

J Vasc Surg Cases Innov Tech. 2020 May 28;6(3):422-424. doi: 10.1016/j.jvscit.2020.05.006. eCollection 2020 Sep.

DOI:10.1016/j.jvscit.2020.05.006
PMID:32760873
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7390775/
Abstract

Coral reef aorta (CRA) is a rare aortic occlusive disease with calcified intraluminal lesions. We report the case of a patient with CRA who underwent endovascular treatment (EVT). A 78-year-old woman presented with intermittent claudication. A computed tomography scan showed a preocclusive calcified lesion in the infrarenal aorta. EVT with a balloon-expandable stent graft was successfully performed, and her intermittent claudication improved. Compared with the conventional surgical treatments for CRA, EVT with a balloon-expandable stent graft is less invasive. This procedure is an effective option for the treatment of CRA.

摘要

珊瑚礁样主动脉(CRA)是一种罕见的伴有管腔内钙化病变的主动脉闭塞性疾病。我们报告了1例接受血管内治疗(EVT)的CRA患者。一名78岁女性因间歇性跛行就诊。计算机断层扫描显示肾下腹主动脉有一个闭塞前钙化病变。成功实施了球囊扩张式覆膜支架血管内治疗,她的间歇性跛行症状得到改善。与CRA的传统外科治疗相比,球囊扩张式覆膜支架血管内治疗的侵入性较小。该手术是治疗CRA的一种有效选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff6/7390775/b2275709420f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff6/7390775/561e6f3a68a7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff6/7390775/714c453de566/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff6/7390775/b2275709420f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff6/7390775/561e6f3a68a7/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff6/7390775/714c453de566/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7ff6/7390775/b2275709420f/gr3.jpg

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本文引用的文献

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Ann Vasc Surg. 2020 Feb;63:456.e5-456.e9. doi: 10.1016/j.avsg.2019.07.014. Epub 2019 Oct 14.
2
Treatment of symptomatic coral reef aorta by a nitinol self-expanding stent.镍钛诺自膨式支架治疗有症状的珊瑚礁主动脉。
BMJ Case Rep. 2019 May 9;12(5):e229179. doi: 10.1136/bcr-2019-229179.
3
Pivotal Study of a Next-Generation Balloon-Expandable Stent-Graft for Treatment of Iliac Occlusive Disease.
商业可用的血管内滤器导管(Capturex)在珊瑚礁样主动脉患者行胸主动脉腔内修复术(TEVAR)中的应用。
Cardiovasc Intervent Radiol. 2022 Jun;45(6):879-883. doi: 10.1007/s00270-022-03147-6. Epub 2022 Apr 26.
4
Balloon angioplasty for uncontrollable hypertension caused by coral reef aorta: A case report.球囊血管成形术治疗珊瑚礁样主动脉所致顽固性高血压:一例报告。
J Cardiol Cases. 2021 May 28;24(6):255-258. doi: 10.1016/j.jccase.2021.04.017. eCollection 2021 Dec.
5
Medical management of coral reef aorta through optimised diuretic use and angiotensin receptor blockade.通过优化利尿剂使用和血管紧张素受体阻断剂对珊瑚礁主动脉进行医学管理。
BMJ Case Rep. 2021 Jun 2;14(6):e242724. doi: 10.1136/bcr-2021-242724.
新一代球囊扩张式支架治疗髂动脉闭塞性疾病的关键研究。
J Endovasc Ther. 2017 Oct;24(5):629-637. doi: 10.1177/1526602817720463. Epub 2017 Jul 12.
4
Extra-Anatomic Revascularization of Extensive Coral Reef Aorta.
Ann Vasc Surg. 2017 Oct;44:422.e1-422.e7. doi: 10.1016/j.avsg.2017.04.036. Epub 2017 May 5.
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