一例因Ovation血管内移植物同一肢体入路意外双侧肢体插入导致的III型内漏误诊病例。
A Misdiagnosed Case of Endoleak Type-III Caused by Inadvertent Bilateral Limb Insertion in the Same Limb Gate of the Ovation Endograft.
作者信息
Georgakarakos Efstratios, Koutsoumpelis Andreas, Kostoglou Panagiotis, Tasopoulou Kalliopi-Maria, Argyriou Christos
机构信息
Department of Vascular Surgery, "Democritus" University of Thrace, University Hospital of Alexandroupolis, Alexandroupolis, Greece.
First University Surgical Department, University Hospital of Alexandropoulis, Democritus University of Thrace, Alexandroupolis, Greece.
出版信息
Aorta (Stamford). 2022 Feb;10(1):35-37. doi: 10.1055/s-0042-1743197. Epub 2022 May 31.
We describe an infrequent case of endoleak Type-III due to an unrecognized, inadvertent bilateral limb deployment into the same limb gate of the Ovation aortic endograft, accompanied by thrombosis and acute ischemia. The following computed tomography angiography revealed the open limb gate with the characteristic of radio-opaque polymer in the sealing rings. Intraoperative angiographies via the brachial route identified the open limb gate and facilitated the successful use of an occluding plug to manage the Type-III endoleak.
我们描述了一例罕见的Ⅲ型内漏病例，原因是未识别出且无意中将双侧分支置入了Ovation主动脉腔内移植物的同一分支开口处，同时伴有血栓形成和急性缺血。随后的计算机断层扫描血管造影显示开口的分支开口处密封环中有不透射线聚合物的特征。通过肱动脉途径进行的术中血管造影确定了开口的分支开口，并成功使用封堵器处理了Ⅲ型内漏。
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