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通过四维计算机断层扫描诊断为腹主动脉瘤合并主-髂静脉瘘的血管内修复术。

Endovascular Repair for Abdominal Aneurysm with Concomitant Aortoiliac Vein Fistula Diagnosed by Four-Dimensional Computed Tomography.

作者信息

Tanaka Chiharu, Furuya Hidekazu, Kamei Shunsuke, Suda Satoshi, Yamaguchi Masaomi

机构信息

Department of Cardiovascular Surgery, Tokai University Hachioji Hospital, Hachioji, Tokyo, Japan.

Department of Radiology, Tokai University Hachioji Hospital, Hachioji, Tokyo, Japan.

出版信息

Ann Vasc Dis. 2022 Dec 25;15(4):337-340. doi: 10.3400/avd.cr.22-00019.

DOI:10.3400/avd.cr.22-00019
PMID:36644261
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9816039/
Abstract

A 78-year-old man complaining of left leg swelling was diagnosed with an abdominal aortic aneurysm with an irregular margin. A four-dimensional computed tomography (CT) showed an aortoiliac vein fistula. An AFX stent graft was urgently implanted, and a Viabahn VBX was inserted into the left iliac vein. The aneurysmal sac was embolized. After the procedure, enhanced CT confirmed a patent stent graft without any endoleak or fistula. The patient was discharged ambulatory. An aortoiliac vein fistula is a differential diagnosis for leg edema, and a four-dimensional CT is beneficial in diagnosing the condition.

摘要

一名78岁男性因左腿肿胀就诊，被诊断为腹主动脉瘤，瘤体边缘不规则。四维计算机断层扫描（CT）显示存在主动脉髂静脉瘘。紧急植入了AFX覆膜支架，并在左髂静脉插入了Viabahn VBX。对动脉瘤囊进行了栓塞。术后，增强CT证实覆膜支架通畅，无内漏或瘘。患者出院时可自行走动。主动脉髂静脉瘘是腿部水肿的鉴别诊断之一，四维CT有助于诊断该病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3640/9816039/e7f4c75f55c5/avd-15-4-cr.22-00019-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3640/9816039/2b0fbe421e23/avd-15-4-cr.22-00019-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3640/9816039/f8ef37989de0/avd-15-4-cr.22-00019-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3640/9816039/e7f4c75f55c5/avd-15-4-cr.22-00019-figure03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3640/9816039/2b0fbe421e23/avd-15-4-cr.22-00019-figure01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3640/9816039/f8ef37989de0/avd-15-4-cr.22-00019-figure02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3640/9816039/e7f4c75f55c5/avd-15-4-cr.22-00019-figure03.jpg

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Rupture of a Median Sacral Artery Aneurysm in a Patient with Vascular Ehlers Danlos Syndrome.一名患有血管性埃勒斯-当洛综合征患者的骶正中动脉动脉瘤破裂。
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