Endurant II 型血管内移植物所致 IIIb 型和 Ia 型内漏合并导致腹主动脉瘤破裂：1例报告
Rupture of Abdominal Aortic Aneurysm Caused by Combined Type IIIb and Type Ia Endoleak with the Endurant II Endograft: A Case Report.
作者信息
Okazaki Takanobu, Hamamoto Masaki, Takasaki Taiichi, Katayama Keijiro, Kobayashi Taira, Takahashi Shinya
机构信息
Department of Cardiovascular Surgery, JA Hiroshima General Hospital, Hatsukaichi, Hiroshima, Japan.
Department of Cardiovascular Surgery, Hiroshima University Hospital, Hiroshima, Hiroshima, Japan.
出版信息
Ann Vasc Dis. 2021 Jun 25;14(2):159-162. doi: 10.3400/avd.cr.20-00175.
We report a case of combined types IIIb and Ia endoleak that developed 6 years after endovascular aneurysm repair (EVAR) with the Endurant II® endograft for abdominal aortic aneurysm (AAA). The patient presented with post-EVAR AAA rupture and underwent emergency open repair. We observed types IIIb and Ia endoleak and successfully performed felt banding to preserve the stent graft. Type IIIb endoleak with the Endurant® endograft is rare, and treatments have not been fully established. We summarized the case reports regarding type IIIb endoleak with the Endurant® endograft and mainly discussed the treatments.
我们报告了一例腹主动脉瘤（AAA）患者，其在使用Endurant II® 血管内移植物进行血管内动脉瘤修复（EVAR）6年后出现IIIb型和Ia型内漏合并的情况。该患者出现了EVAR术后AAA破裂，并接受了急诊开放修复。我们观察到IIIb型和Ia型内漏，并成功进行了毡条绑扎以保留支架移植物。使用Endurant® 血管内移植物出现IIIb型内漏的情况罕见，且治疗方法尚未完全确立。我们总结了有关使用Endurant® 血管内移植物出现IIIb型内漏的病例报告，并主要讨论了治疗方法。
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