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血管腔内主动脉瘤修复术后伴2型内漏的大型腹主动脉瘤开放修复术：病例报告及文献综述

Open Repair of a Large Abdominal Aortic Aneurysm With a Type 2 Endoleak After an Endovascular Aortic Aneurysm Repair: A Case Report and Literature Review.

作者信息

Elbayoumi Eman H, Farres Houssam, Erben Young

机构信息

Vascular and Endovascular Surgery, Mayo Clinic, Jacksonville, USA.

出版信息

Cureus. 2023 Jun 12;15(6):e40315. doi: 10.7759/cureus.40315. eCollection 2023 Jun.

DOI:10.7759/cureus.40315
PMID:37448430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10337833/
Abstract

A type 2 endoleak (T2E) can occur after an endovascular aortic aneurysm repair (EVAR). The repair of a T2E is recommended after a sac enlargement of ≥5mm. We present a unique case of a 10 cm aneurysm sac that underwent open explantation 11 years after the initial EVAR and after having undergone several interventions to address the T2E.

摘要

腹主动脉瘤腔内修复术（EVAR）后可能发生2型内漏（T2E）。当瘤体增大≥5mm时，建议修复T2E。我们报告了一例独特的病例，患者有一个10cm的动脉瘤瘤腔，在初次EVAR术后11年，且在接受了多次处理T2E的干预措施后，接受了开放性瘤体切除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee91/10337833/fed150f4a9af/cureus-0015-00000040315-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee91/10337833/a9f72fff1e46/cureus-0015-00000040315-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee91/10337833/d955900c2e82/cureus-0015-00000040315-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee91/10337833/27bd4902264c/cureus-0015-00000040315-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee91/10337833/fed150f4a9af/cureus-0015-00000040315-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee91/10337833/a9f72fff1e46/cureus-0015-00000040315-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee91/10337833/d955900c2e82/cureus-0015-00000040315-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee91/10337833/27bd4902264c/cureus-0015-00000040315-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee91/10337833/fed150f4a9af/cureus-0015-00000040315-i04.jpg

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J Endovasc Ther. 2025 Feb;32(1):57-67. doi: 10.1177/15266028231165731. Epub 2023 Apr 19.
2
Morphological and Clinical Predictors of Early/Follow-up Failure of the Endovascular Infrarenal Abdominal Aneurysm Repair With Currently Available Endografts.目前可用的腔内内脏动脉瘤修复术后早期/随访失败的形态学和临床预测因素。
J Endovasc Ther. 2024 Dec;31(6):1130-1139. doi: 10.1177/15266028231158312. Epub 2023 Mar 4.
3
Open Repair of a Complicated Late Endoleak Induced by Another Endoleak.
开放修复由另一个内漏引起的复杂晚期内漏
Tex Heart Inst J. 2022 Nov 1;49(6). doi: 10.14503/THIJ-20-7542.
4
Evaluation of the Effectiveness of Endovascular Treatment of Type 2 Endoleaks.评价 2 型内漏的血管内治疗效果。
Ann Vasc Surg. 2023 Jul;93:9-17. doi: 10.1016/j.avsg.2022.06.099. Epub 2022 Jul 22.
5
Decreasing trends in reintervention and readmission after endovascular aneurysm repair in a multiregional implant registry.多地区植入物登记处血管内动脉瘤修复术后再干预和再入院率呈下降趋势。
J Vasc Surg. 2022 Dec;76(6):1511-1519. doi: 10.1016/j.jvs.2022.04.054. Epub 2022 Jun 14.
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Ann Vasc Surg. 2022 Aug;84:250-264. doi: 10.1016/j.avsg.2021.12.077. Epub 2022 Jan 5.
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Eur J Vasc Endovasc Surg. 2021 Jan;61(1):98-105. doi: 10.1016/j.ejvs.2020.08.034. Epub 2020 Sep 29.