腔内血管修复术（EVAR）中对侧分支支架移植物放置不当的血管内处理：介入技术病例报告
Endovascular management of contralateral gate maldeployment during EVAR: Case report of interventional technique.
作者信息
Koussayer Samer, Abuduruk Aseel
机构信息
Vascular Surgery Department, King Faisal Specialist Hospital and Research Center, Makkah Al Mukarramah Branch Rd, Al Mathar Ash-Shamali, 1121, P.O. Box: 3354, Riyadh, Saudi Arabia.
Vascular Surgery, Taif University, College of Medicine Taif University, Alseteen Street, Alhaweyia, Al-Taif, 21944, B.O. Box 11099, Saudi Arabia.
出版信息
Int J Surg Case Rep. 2021 Mar;80:105637. doi: 10.1016/j.ijscr.2021.02.023. Epub 2021 Feb 9.
INTRODUCTION
Endovascular repair of infra renal aortic aneurysm is becoming the preferable method of intervention compared to open surgery due to the lower early morbidity rates. One of the complications during the procedure is contra-lateral gate (CLG) maldeployment. Learning the endovascular salvage options is necessary to avoid the morbidities of open surgical conversion.
PRESENTATION OF CASE
we present a case of maldeployment during an endovascular exclusion of aortic aneurysm in a high cardiac risk patient for whom an endovascular management was successful.
DISCUSSION
We discuss the detailed technical aspect in managing CLG maldeployment in our case as well as variable options from literature.
CONCLUSION
Despite the available possibility to convert to open, there are multiple endovascular bail out alternatives to manage maldeployment that can be successfully performed by experienced interventionalist.
引言
与开放手术相比，由于早期发病率较低，肾下腹主动脉瘤的血管内修复正成为首选的干预方法。该手术过程中的并发症之一是对侧分支（CLG）部署不当。了解血管内挽救方案对于避免开放手术转换带来的并发症是必要的。
病例介绍
我们呈现了一例在血管内排除主动脉瘤过程中发生部署不当的病例，该患者心脏风险高，但血管内治疗成功。
讨论
我们讨论了在我们的病例中处理CLG部署不当的详细技术方面以及文献中的各种选择。
结论
尽管有转为开放手术的可能性，但有多种血管内补救方法可用于处理部署不当，经验丰富的介入医生可以成功实施。
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