Second Department of Surgery, Faculty of Medicine, Yamagata University, Yamagata, Japan.
Interact Cardiovasc Thorac Surg. 2021 Apr 8;32(3):492-494. doi: 10.1093/icvts/ivaa282.
Transfemoral endovascular repair has been widely accepted as an effective treatment for type B aortic dissection. However, if the dissection extends to the femoral artery, the transfemoral approach increases the risk of access complications. We describe a case of acute complicated type B aortic dissection involving the dissected bilateral femoral arteries. Successful endovascular repair without access complications was performed through an appropriate access route created by a femoral arterial conduit. We believe that this approach results in reliable cannulation of the true lumen and the reduction of the risk for intimal injury in aortic dissection with the dissected femoral artery.
经股动脉腔内修复术已被广泛接受为治疗 B 型主动脉夹层的有效方法。然而，如果夹层延伸至股动脉，经股动脉入路会增加血管入路并发症的风险。我们描述了一例累及双侧股动脉的急性复杂型 B 型主动脉夹层病例。通过股动脉导管建立合适的入路，成功进行了无血管入路并发症的腔内修复。我们认为，这种方法可实现对真腔的可靠插管，并降低股动脉夹层内膜损伤的风险。
