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血管内动脉瘤修复术后持续性Ⅱ型内漏患者的晚期开放性腹主动脉瘤重建及移植物挽救

Late Open Abdominal Aneurysm Reconstruction and Graft Salvage in a Patient With Persistent Endoleak Type II Following Endovascular Aneurysm Repair.

作者信息

Giannakopoulos Nikolaos, Antoniou Afroditi, Tzamtzidou Sofia, Manou Dimitra, Papas Theofanis

机构信息

Department of Vascular Surgery, Korgialenio-Benakio Hellenic Red Cross Hospital, Athens, GRC.

出版信息

Cureus. 2024 May 31;16(5):e61420. doi: 10.7759/cureus.61420. eCollection 2024 May.

DOI:10.7759/cureus.61420
PMID:38947720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11214724/
Abstract

This study highlights a case of late open conversion repair (OCR) for persistent Type II endoleak after endovascular aneurysm repair (EVAR), presenting a 78-year-old male with a history of EVAR for an infrarenal abdominal aortic aneurysm. Despite conservative management of the initial endoleak, the aneurysm sac's progressive growth necessitated open reconstruction to salvage the graft. Successful postoperative outcomes emphasize the critical need for meticulous intervention strategies and surveillance in managing persistent Type II endoleaks. This case underlines the importance of a tailored approach, leveraging both endovascular and open surgical techniques, to optimize long-term outcomes and prevent aneurysm rupture in complex cases.

摘要

本研究重点介绍了1例血管内动脉瘤修复术（EVAR）后持续性Ⅱ型内漏的晚期开放转换修复（OCR）病例，患者为78岁男性，有肾下腹主动脉瘤的EVAR病史。尽管对初始内漏进行了保守治疗，但动脉瘤囊的渐进性生长仍需要进行开放重建以挽救移植物。术后成功的结果强调了在处理持续性Ⅱ型内漏时，精心制定干预策略和监测的迫切需求。该病例强调了采用定制方法的重要性，即结合血管内和开放手术技术，以优化长期结果并防止复杂病例中的动脉瘤破裂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc9/11214724/6bcadd68148e/cureus-0016-00000061420-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc9/11214724/86ed8d5d581e/cureus-0016-00000061420-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc9/11214724/071c514561e2/cureus-0016-00000061420-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc9/11214724/f0f2fcb7dcfb/cureus-0016-00000061420-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc9/11214724/6bcadd68148e/cureus-0016-00000061420-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc9/11214724/86ed8d5d581e/cureus-0016-00000061420-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc9/11214724/071c514561e2/cureus-0016-00000061420-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc9/11214724/f0f2fcb7dcfb/cureus-0016-00000061420-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1dc9/11214724/6bcadd68148e/cureus-0016-00000061420-i04.jpg

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本文引用的文献

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Successful treatment of a patient with a 'flow-through' type II endoleak associated with an aberrant renal artery after endovascular aneurysm repair.血管内动脉瘤修复术后，成功治疗一例伴有异常肾动脉的“血流持续型”Ⅱ型内漏患者。
J Surg Case Rep. 2023 Mar 11;2023(3):rjad087. doi: 10.1093/jscr/rjad087. eCollection 2023 Mar.
2
Late open conversion in ruptured abdominal aortic aneurysm after endovascular repair.血管内修复术后破裂腹主动脉瘤的晚期开放转换
J Vasc Bras. 2018 Jan-Mar;17(1):66-70. doi: 10.1590/1677-5449.008017.
3
Late open conversion after endovascular repair of abdominal aneurysm failure: Better and easier option than complex endovascular treatment.
腹主动脉瘤血管内修复失败后的晚期开放转换：比复杂的血管内治疗更好、更简便的选择。
JRSM Cardiovasc Dis. 2018 Mar 14;7:2048004017752835. doi: 10.1177/2048004017752835. eCollection 2018 Jan-Dec.
4
Late open conversion after endovascular abdominal aortic repair: a 20-year experience.血管腔内腹主动脉修复术后的晚期开放转换：20年经验
J Cardiovasc Surg (Torino). 2019 Feb;60(1):73-80. doi: 10.23736/S0021-9509.18.10173-X. Epub 2018 Mar 12.
5
Risk factors and consequences of persistent type II endoleaks.持续性II型内漏的危险因素及后果。
J Vasc Surg. 2016 Apr;63(4):895-901. doi: 10.1016/j.jvs.2015.10.088. Epub 2016 Jan 12.
6
Late open conversion after endovascular abdominal aortic aneurysm repair.血管腔内腹主动脉瘤修复术后的晚期开放转换
J Vasc Surg. 2015 May;61(5):1350-6. doi: 10.1016/j.jvs.2015.02.019. Epub 2015 Mar 26.
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CT features of early type II endoleaks after endovascular repair of abdominal aortic aneurysms help predict aneurysm sac enlargement.CT 特征有助于预测腹主动脉瘤血管内修复术后早期 II 型内漏的动脉瘤囊扩大。
Radiology. 2015 Mar;274(3):906-16. doi: 10.1148/radiol.14140284. Epub 2014 Nov 7.
8
Late open conversion after failed endovascular aortic aneurysm repair.血管内主动脉瘤修复失败后的晚期开放转换。
J Vasc Surg. 2014 Feb;59(2):291-7. doi: 10.1016/j.jvs.2013.07.106. Epub 2013 Oct 16.
9
Preoperative variables predict persistent type 2 endoleak after endovascular aneurysm repair.术前变量可预测血管内动脉瘤修复后持续的 2 型内漏。
J Vasc Surg. 2010 Jul;52(1):19-24. doi: 10.1016/j.jvs.2010.02.023. Epub 2010 May 15.
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Clinical significance of type II endoleak after endovascular repair of abdominal aortic aneurysm.腹主动脉瘤血管腔内修复术后Ⅱ型内漏的临床意义
Ann Vasc Surg. 2006 Jan;20(1):69-74. doi: 10.1007/s10016-005-9382-z.