Department of Cardio-vascular and Thoracic Surgery, Dijon University Hospital, Dijon, France.
Department of Cardio-vascular and Thoracic Surgery, Dijon University Hospital, Dijon, France.
Ann Vasc Surg. 2021 Jul;74:522.e1-522.e5. doi: 10.1016/j.avsg.2021.01.086. Epub 2021 Feb 5.
We report the case of a 72-year-old man who presented with a left ruptured internal iliac aneurysm (IIA). A percutaneous cross-over approach was used to coil-embolize the 3 distal branches of the IIA. A tapered endograft limb was then delivered via the right common femoral artery using a femorofemoral through-and-through cross-over approach. The widest part of the graft was deployed in the common iliac artery and the smallest in the external iliac artery. This percutaneous endovascular technique opens up new perspectives in emergency care for ruptured internal iliac artery aneurysms.
我们报告了一例 72 岁男性患者，其左侧破裂性髂内动脉瘤（IIA）。采用经皮交叉入路对 IIA 的 3 个远端分支进行弹簧圈栓塞。然后通过股股经皮贯穿交叉入路从右侧股总动脉输送锥形移植物支。移植物最宽部分置于髂总动脉，最窄部分置于髂外动脉。这种经皮腔内血管技术为破裂性髂内动脉瘤的急救治疗开辟了新的前景。
