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采用反向喇叭口技术对破裂的髂外动脉假性动脉瘤和动静脉瘘进行血管腔内修复。

Endovascular repair of ruptured external iliac artery pseudoaneurysm and arteriovenous fistula using reversed bell-bottom technique.

作者信息

Rodrigues Diego Vinnicyus Santos, Frazao Victor Hugo Alvim, de Araujo Junior Raimundo Teixeira, Schmitt Luiza Giuliani

机构信息

Division of General Surgery, University Hospital of the Federal University of Santa Maria, Santa Maria, RS, Brazil.

Division of Vascular Surgery, University Hospital of the Federal University of Maranhão, São Luis, MA, Brazil.

出版信息

J Vasc Surg Cases Innov Tech. 2022 Dec 23;9(1):101087. doi: 10.1016/j.jvscit.2022.101087. eCollection 2023 Mar.

DOI:10.1016/j.jvscit.2022.101087
PMID:36747599
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9898736/
Abstract

Pseudoaneurysm and arteriovenous fistula can occur after iatrogenic trauma or penetrating injuries. Endovascular treatment is a minimally invasive method used to manage these complex vascular injuries. We have described the case of a 27-year-old male patient who had presented with progressively increasing pain and swelling of the left inguinal region after a gunshot injury 5 years earlier. The bell-bottom technique was used in a reversed fashion to exclude the pseudoaneurysm and treat the arteriovenous fistula, achieving symptom resolution without complications.

摘要

医源性创伤或穿透性损伤后可发生假性动脉瘤和动静脉瘘。血管内治疗是一种用于处理这些复杂血管损伤的微创方法。我们描述了一例27岁男性患者的病例，该患者在5年前遭受枪伤后，左侧腹股沟区疼痛和肿胀逐渐加重。采用逆行的喇叭口技术来排除假性动脉瘤并治疗动静脉瘘，症状得以缓解且无并发症发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ab/9898736/aefb6b364d50/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ab/9898736/61aa29e6c783/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ab/9898736/78e73bf58267/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ab/9898736/6fce2e765ef8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ab/9898736/284540e5b6c5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ab/9898736/aefb6b364d50/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ab/9898736/61aa29e6c783/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ab/9898736/78e73bf58267/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ab/9898736/6fce2e765ef8/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ab/9898736/284540e5b6c5/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90ab/9898736/aefb6b364d50/gr5.jpg

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本文引用的文献

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Repair of a high-flow superficial femoral arteriovenous fistula using a bell-bottom iliac limb endoprosthesis.使用喇叭形髂支血管内假体修复高流量股浅动静脉瘘。
J Vasc Surg Cases Innov Tech. 2022 Jan 5;8(1):98-101. doi: 10.1016/j.jvscit.2021.11.010. eCollection 2022 Mar.
2
Endovascular Management of Lower Limb Arteriovenous Fistula Presenting 8 Years After Gunshot Injury.枪伤8年后出现的下肢动静脉瘘的血管内治疗
Vasc Endovascular Surg. 2019 Nov;53(8):670-673. doi: 10.1177/1538574419870679. Epub 2019 Aug 19.
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Chronic leg swelling and palpitation as a late complication of post-traumatic arteriovenous fistula: A case report.
创伤后动静脉瘘的晚期并发症：慢性腿部肿胀和心悸——一例报告
Trauma Case Rep. 2016 Apr 14;2:16-20. doi: 10.1016/j.tcr.2016.03.004. eCollection 2016 Feb.
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Trends and outcomes of endovascular therapy in the management of civilian vascular injuries.民用血管损伤管理中血管内治疗的趋势与结果
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Treatment strategies and outcomes in patients with infected aortic endografts.感染性主动脉覆膜支架腔内移植物患者的治疗策略和结果。
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A comparative study of the bell-bottom technique vs hypogastric exclusion for the treatment of aneurysmal extension to the iliac bifurcation.一种比较研究：裤腿技术与下腹排除术治疗髂分叉处动脉瘤延伸的效果比较。
J Vasc Surg. 2012 Apr;55(4):956-62. doi: 10.1016/j.jvs.2011.10.121. Epub 2012 Jan 5.
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Endovascular treatment of common iliac artery aneurysms using the bell-bottom technique: long-term results.采用喇叭裤技术治疗髂总动脉瘤的血管内治疗：长期结果。
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