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使用一氧化碳作为造影剂,在同种异体肾切除术后采用覆膜支架成功进行髂外假性动脉瘤的血管内治疗:一例报告

Successful endovascular management with a covered stent of an external iliac pseudoaneurysm following allograft nephrectomy using CO as contrast medium: a case report.

作者信息

Fontana Federico, Piacentino Filippo, Ossola Christian, Curti Marco, Coppola Andrea, Carcano Giulio, Piffaretti Gabriele, Tozzi Matteo, Venturini Massimo

机构信息

Diagnostic and Interventional Radiology Department, Ospedale di Circolo, ASST dei Sette Laghi, 21100 Varese, Italy.

School of Medicine and Surgery, Università degli Studi dell'Insubria, 21100 Varese, Italy.

出版信息

Radiol Case Rep. 2021 Oct 8;16(12):3821-3823. doi: 10.1016/j.radcr.2021.08.077. eCollection 2021 Dec.

Abstract

Iodinated contrast agents for angiography in chronic kidney disease (CKD) patients could further deteriorate their renal function leading to adverse sequelae. The use of carbon dioxide (CO) is reported in the literature and has been safely used for a variety of angiographic procedures, particularly to guide aortic and renal interventions. We report the case of the successful endovascular treatment with a covered stent of a right external iliac artery pseudoaneurysm following graft nephrectomy in a CKD patient, using CO as contrast medium.

摘要

用于慢性肾脏病(CKD)患者血管造影的碘化造影剂可能会进一步损害其肾功能,导致不良后果。文献报道了二氧化碳(CO₂)的使用情况,并且它已被安全地用于各种血管造影手术,特别是用于指导主动脉和肾脏介入治疗。我们报告了一例CKD患者在肾移植切除术后使用CO₂作为造影剂,成功地用覆膜支架对右髂外动脉假性动脉瘤进行血管内治疗的病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a0d1/8515408/bf607343c321/gr1.jpg

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