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股深动脉动脉瘤的手术、血管内及杂交治疗:三例报告

Surgical, endovascular, and hybrid treatment of deep femoral artery aneurysm: Three case reports.

作者信息

Moriuchi Hiroki, Maeda Takuya, Koide Masaaki, Kunii Yoshifumi, Watanabe Kazumasa

机构信息

Department of Cardiovascular Surgery Seirei Hamamatsu General Hospital Hamamatsu Japan.

出版信息

Clin Case Rep. 2023 Aug 28;11(9):e7853. doi: 10.1002/ccr3.7853. eCollection 2023 Sep.

Abstract

KEY CLINICAL MESSAGE

Deep femoral artery aneurysms (DFAA) are extremely rare. We treated four DFAAs with different procedures including surgical, endovascular, and hybrid surgery. The best treatment should be selected for each individual case.

ABSTRACT

We report three cases of deep femoral artery aneurysms treated with different techniques. Case 1: A 69-year-old man with a huge deep femoral artery aneurysm underwent open reconstruction using a 6 mm expanded polytetrafluoroethylen graft. Case 2: A 67-year-old man presented with bilateral deep femoral artery aneurysms. The right-sided rupture was treated with hybrid embolization, while the left aneurysm was treated by endovascular stent-grafts deployment. Case 3: A 87-year-old man with a large deep femoral artery aneurysm underwent simply surgical aneurysmectomy. As there are many treatment options for deep femoral artery aneurysms, a comprehensive preoperative assessment is essential, encompassing an evaluation of symptoms, anatomy, and comorbidities.

摘要

关键临床信息

股深动脉动脉瘤(DFAA)极为罕见。我们采用了包括手术、血管腔内和杂交手术等不同方法治疗了4例股深动脉动脉瘤。应针对每个病例选择最佳治疗方案。

摘要

我们报告了3例采用不同技术治疗的股深动脉动脉瘤病例。病例1:一名69岁男性患有巨大股深动脉动脉瘤,使用6毫米膨体聚四氟乙烯移植物进行了开放重建。病例2:一名67岁男性双侧股深动脉动脉瘤。右侧破裂采用杂交栓塞治疗,而左侧动脉瘤采用血管腔内支架移植物置入治疗。病例3:一名87岁男性患有大型股深动脉动脉瘤,仅接受了手术动脉瘤切除术。由于股深动脉动脉瘤有多种治疗选择,全面的术前评估至关重要,包括对症状、解剖结构和合并症的评估。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/78a6/10462771/2fb27297a8c4/CCR3-11-e7853-g002.jpg

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