Overfield Cameron J, McCormick Benjamin J, Erben Young, Saunders Hollie, Sheele Johnathan M, Moss John E, Toskich Beau
Division of Interventional Radiology, Mayo Clinic, Jacksonville, Fla.
Department of Internal Medicine, Mayo Clinic, Jacksonville, Fla.
J Vasc Surg Cases Innov Tech. 2021 May 21;7(3):563-566. doi: 10.1016/j.jvscit.2021.04.025. eCollection 2021 Sep.
A 40-year-old man presented with hemorrhagic shock owing to an aortoduodenal fistula. Angiography demonstrated vasospasm of the right common femoral artery to 2 mm. Treatment using a balloon-expandable stent graft was chosen given the smaller sheath diameter requirement when compared to self-expandable aortic stent graft. Given the undersized 11 mm delivery balloon for the patient's aorta, a sheath control technique was utilized. The stent graft was partially expanded within the sheath and the delivery balloon was exchanged for a 16-mm balloon to complete expansion of the stent graft apposition to the aortic wall, bridging the patient to definitive surgical repair.
一名40岁男性因主动脉十二指肠瘘出现失血性休克。血管造影显示右股总动脉血管痉挛至2毫米。与自膨胀式主动脉支架移植物相比,鉴于球囊扩张式支架移植物对鞘管直径的要求较小,故选择使用球囊扩张式支架移植物进行治疗。鉴于患者主动脉的输送球囊尺寸过小(11毫米),采用了鞘管控制技术。支架移植物在鞘管内部分扩张,然后将输送球囊换成16毫米的球囊,以完成支架移植物与主动脉壁的完全贴合扩张,使患者过渡到确定性手术修复。