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覆膜支架向膀胱外迁移:血管内治疗动脉-输尿管瘘后的一种罕见并发症。

Extravascular Migration of a Stentgraft Into the Bladder: A Rare Complication After Endovascular Treatment of an Arterio-Ureteral Fistula.

机构信息

Department of Vascular Surgery, Tsuchiura Kyodo General Hospital, Ibaraki, Japan.

出版信息

Vasc Endovascular Surg. 2024 Jan;58(1):90-94. doi: 10.1177/15385744231183783. Epub 2023 Jun 15.

Abstract

Endovascular repair has gained acceptance for the treatment of arterio-ureteral fistula (AUF). However, data on associated postoperative complications are relatively scarce. We report the case of a 59-year-old woman with an external iliac artery (EIA)-ureteral fistula treated by endovascular stentgraft placement. Hematuria resolved after the procedure; however, occlusion of the left EIA and migration of the stentgraft into the bladder occurred 3 months postoperatively. Endovascular repair is a safe and effective method for the treatment of AUF, but it needs to be carefully followed. Extravascular migration of a stentgraft is a rare but possible complication.

摘要

腔内修复术已被接受用于治疗动静脉瘘(AUF)。然而,与术后相关并发症的数据相对较少。我们报告了一例 59 岁女性,采用腔内支架置入术治疗髂外动脉(EIA)-输尿管瘘。术后血尿得到缓解;然而,术后 3 个月时出现左侧 EIA 闭塞和支架移植物进入膀胱。腔内修复术是治疗 AUF 的一种安全有效的方法,但需要仔细随访。支架移植物的血管外迁移是一种罕见但可能发生的并发症。

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