Pollorsi Gaia, Danzer Daniel, Murith Nicolas, Huber Christoph, Mugnai Damiano
Department of Cardiovascular Surgery, Geneva University Hospital, Geneva, Switzerland.
Department of Vascular Surgery, Wallis Hospital, Sion, Switzerland.
J Vasc Surg Cases Innov Tech. 2022 Mar 9;8(2):187-189. doi: 10.1016/j.jvscit.2022.02.011. eCollection 2022 Jun.
Extrinsic compression is a potential cause of stent failure. We have described the case of a 65-year-old paraplegic patient with acute right leg ischemia. His medical history was relevant for aortobifemoral bypass, followed by kissing covered stent reconstruction of a proximal anastomotic false aneurysm. The computed tomography scan showed collapse of the right iliac covered stent with ipsilateral iliofemoral graft thrombosis and partial collapse of the left iliac covered stent. He underwent emergent right iliac limb open thrombectomy and redo covered stent relining. The cause of compression was found to be daily deep abdominal massages for intestinal evacuation. The endovascular device should be tailored to the patient's particularities.
外部压迫是支架失败的一个潜在原因。我们描述了一例65岁截瘫患者急性右腿缺血的病例。他的病史与主动脉双股动脉搭桥术有关，随后对近端吻合口假性动脉瘤进行了带膜支架吻合成形术。计算机断层扫描显示右侧髂部带膜支架塌陷，同侧髂股移植物血栓形成，左侧髂部带膜支架部分塌陷。他接受了急诊右侧髂部肢体切开取栓术和再次带膜支架内衬术。发现压迫的原因是为促进肠道排空而进行的每日深部腹部按摩。血管内装置应根据患者的具体情况进行定制。
