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使用预加载的改良戈尔封堵器对肾下腹主动脉覆膜支架移植物进行内衬修复隐匿性内漏伴瘤体扩张。

Relining of infrarenal stent-graft with preloaded modified Gore Excluder for occult endoleak with sac expansion.

作者信息

Mirza Aleem K, Skeik Nedaa, Manunga Jesse

机构信息

Division of Vascular and Endovascular Surgery, Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, Minn.

出版信息

J Vasc Surg Cases Innov Tech. 2021 Jul 22;7(4):669-674. doi: 10.1016/j.jvscit.2021.07.007. eCollection 2021 Dec.

DOI:10.1016/j.jvscit.2021.07.007
PMID:34693100
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8515168/
Abstract

Endoleaks remain one of the most common indications for reintervention after endovascular aortic repair. Occasionally, aneurysm sac expansion will occur in the absence of a visible endoleak or due to endotension. We describe a case of continued sac expansion without an identifiable endoleak after endovascular aortic repair. Technical challenges during the case included a short distance from the renal arteries to the flow divider and a significant metal artifact. These challenges were addressed by shortening the gate of a Gore Excluder (W.L. Gore & Associates, Flagstaff, Ariz) to the desired length. The contralateral gate was preloaded to allow for use of the snare-ride technique for gate cannulation and overcome the metal artifact that was hindering visualization.

摘要

内漏仍然是血管腔内主动脉修复术后再次干预最常见的指征之一。偶尔，在没有可见内漏或由于内张力的情况下，动脉瘤囊会扩张。我们描述了一例血管腔内主动脉修复术后动脉瘤囊持续扩张但未发现内漏的病例。该病例中的技术挑战包括肾动脉到分流器的距离短以及严重的金属伪影。通过将戈尔覆膜支架（W.L.戈尔公司，亚利桑那州弗拉格斯塔夫）的分支缩短至所需长度来解决这些挑战。对侧分支预先加载，以便使用圈套器辅助技术进行分支插管，并克服阻碍可视化的金属伪影。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcc/8515168/0af771a46509/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcc/8515168/314a48229f16/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcc/8515168/0a2013b8ffae/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcc/8515168/9fe9bfa8085f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcc/8515168/d1e1cb75d185/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcc/8515168/0af771a46509/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcc/8515168/314a48229f16/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcc/8515168/0a2013b8ffae/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcc/8515168/9fe9bfa8085f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcc/8515168/d1e1cb75d185/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dfcc/8515168/0af771a46509/gr5.jpg

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