Álvarez Marcos Francisco, Couto Mallón Delfín, Vilariño López-Barranco Pilar, Vilariño Rico Jorge, Franco Meijide Francisco José, Caeiro Quinteiro Santiago
Complejo Hospitalario Universitario de A Coruña (CHUAC), Coruña, Spain.
J Vasc Surg Cases Innov Tech. 2016 Aug 20;2(3):88-91. doi: 10.1016/j.jvscit.2016.04.003. eCollection 2016 Sep.
Endograft limb trimming can be an easy customization to perform in some emergent setups and when alternative adequate covered stents are lacking. A man aged 74 years presented with aortoenteric fistula and hemodynamic instability years after an aortobifemoral bypass, and a 56-year-old woman was admitted with acute ischemia due to an aortic ulcer-like lesion. In both cases, tabletop deployment and removal of two stents from an Endurant iliac limb (Medtronic, Fridley, Minn), followed by resheathing and deployment, allowed successful repair as a bridging therapy for open surgery. Both patients are alive and without walking impairment 8 and 6 months later, respectively.
在某些紧急情况下，当缺乏合适的替代覆膜支架时，腔内移植物肢体修剪是一种易于实施的定制操作。一名74岁男性在主动脉双股动脉搭桥术后数年出现主动脉肠瘘和血流动力学不稳定，一名56岁女性因主动脉溃疡样病变入院，伴有急性缺血。在这两例病例中，通过在手术台上展开并从美敦力公司（位于明尼苏达州弗里德利）的Endurant髂支移植物中取出两个支架，随后重新装入并展开，成功地作为开放手术的桥接治疗进行了修复。两名患者分别在8个月和6个月后存活，且无行走障碍。
