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一种成功的血管内技术用于慢性腹主动脉夹层中完全假腔血栓形成。

A Successful Endovascular Technique for Complete False Lumen Thrombosis in Chronic Abdominal Aortic Dissection.

作者信息

Hiruma Hiromitsu, Ogawa Yukihisa, Chiba Kiyoshi, Maruhashi Takaaki, Kotoku Akiyuki, Mimura Hidefumi, Miyairi Takeshi, Nishimaki Hiroshi

机构信息

Department of Radiology, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

Department of Cardiovascular Surgery, St. Marianna University School of Medicine, Kawasaki, Kanagawa, Japan.

出版信息

Ann Vasc Dis. 2021 Mar 25;14(1):75-78. doi: 10.3400/avd.cr.20-00163.

DOI:10.3400/avd.cr.20-00163
PMID:33786106
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7991708/
Abstract

A 66-year-old man presented with an enlarging abdominal aorta false lumen, after type A aortic dissection repair. Residual entries were located at the left renal artery, abdominal aorta, and left external iliac artery. The patient underwent endovascular aortic repair with left renal artery stenting to close the entries. Completion aortography showed no false lumen flow without an endoleak, and contrast-enhanced computed tomography 1 month after the procedure demonstrated complete false lumen thrombosis. A total endovascular approach is possible for abdominal aneurysmal dilation in chronic aortic dissection when all entries can be closed using a one-stage procedure with stent grafts and/or branch stenting.

摘要

一名66岁男性在A型主动脉夹层修复术后出现腹主动脉假腔扩大。残余破口位于左肾动脉、腹主动脉和左髂外动脉。患者接受了血管腔内主动脉修复术并置入左肾动脉支架以封闭破口。术后主动脉造影显示无内漏且假腔内无血流，术后1个月的增强计算机断层扫描显示假腔完全血栓形成。当使用覆膜支架和/或分支支架通过一期手术能够封闭所有破口时，对于慢性主动脉夹层的腹主动脉瘤样扩张采用全血管腔内治疗方法是可行的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03f/7991708/3414b03d7571/avd-14-1-cr.20-00163-figure04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03f/7991708/a7c8cff4311d/avd-14-1-cr.20-00163-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03f/7991708/d52b9452a27c/avd-14-1-cr.20-00163-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03f/7991708/466f6caa4a31/avd-14-1-cr.20-00163-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03f/7991708/3414b03d7571/avd-14-1-cr.20-00163-figure04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03f/7991708/a7c8cff4311d/avd-14-1-cr.20-00163-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03f/7991708/d52b9452a27c/avd-14-1-cr.20-00163-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03f/7991708/466f6caa4a31/avd-14-1-cr.20-00163-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b03f/7991708/3414b03d7571/avd-14-1-cr.20-00163-figure04.jpg

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