Kamada Keisuke, Koya Atsuhiro, Tochikubo-Suzuki Ai, Kikuchi Shinsuke, Uchida Daiki, Azuma Nobuyoshi
Department of Vascular Surgery, Asahikawa Medical University, Asahikawa, Japan.
J Vasc Surg Cases Innov Tech. 2021 Dec 23;8(1):125-128. doi: 10.1016/j.jvscit.2021.12.005. eCollection 2022 Mar.
Neurofibromatosis type 1 (NF-1) is associated with fatal vascular complications. A 40-year-old woman with NF-1 who had previously undergone left iliac artery ligation and femorofemoral bypass grafting for internal iliac artery (IIA) aneurysm rupture was transported to our hospital for the treatment of a newly developed IIA aneurysm. Although endovascular therapy was difficult owing to the previous surgery, we successfully performed embolization of the aneurysm and its feeding vessels via direct percutaneous puncture under ultrasound guidance. Aneurysm enhancement had completely disappeared at 2 months postoperatively. We have reported a novel approach of direct percutaneous puncture for IIA aneurysm embolization in a patient with NF-1.
1型神经纤维瘤病（NF-1）与致命的血管并发症相关。一名40岁患有NF-1的女性，此前因髂内动脉（IIA）动脉瘤破裂接受了左髂动脉结扎和股股旁路移植术，现因新出现的IIA动脉瘤被转运至我院治疗。尽管由于之前的手术，血管内治疗困难，但我们在超声引导下通过直接经皮穿刺成功地对动脉瘤及其供血血管进行了栓塞。术后2个月动脉瘤强化完全消失。我们报道了一种在NF-1患者中对IIA动脉瘤进行栓塞的直接经皮穿刺新方法。
