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经单一同侧入路使用分叉型腔内移植物对股总动脉瘤进行完全腔内修复。

Total endovascular repair of a common femoral artery aneurysm with a bifurcated endograft through a single ipsilateral approach.

作者信息

Castelli Mariano Andrés, Battú Camila Cauquep, Lima Melina, Pfund Guillermo, de Luca Ignacio, Zaefferer Patricio

机构信息

Department of Vascular and Endovascular Surgery, Instituto Cardiovascular de Buenos Aires, Buenos Aires, Argentina.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Jul 4;10(5):101566. doi: 10.1016/j.jvscit.2024.101566. eCollection 2024 Oct.

DOI:10.1016/j.jvscit.2024.101566
PMID:39263653
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11387682/
Abstract

Aneurysms of the common femoral and profunda femoris arteries are rare. Open surgical repair is the treatment of choice, even though hybrid and total endovascular repair with stent graft placement are reported in the literature. We describe a case of a successful total endovascular repair of a common femoral aneurysm extending to the profunda femoris with a bifurcated abdominal endograft placed in the common femoral artery with distal landing in profunda femoris and superficial femoral artery to preserve flow in both arteries. Endovascular repair of common femoral artery aneurysms with bifurcated endografts is a feasible alternative in complex anatomies.

摘要

股总动脉和股深动脉的动脉瘤较为罕见。开放手术修复是首选治疗方法，尽管文献中报道了采用杂交手术和带覆膜支架置入的完全腔内修复术。我们描述了一例成功的完全腔内修复股总动脉瘤累及股深动脉的病例，通过在股总动脉置入分叉型腹主动脉覆膜支架，远端锚定于股深动脉和股浅动脉，以保留两条动脉的血流。对于解剖结构复杂的股总动脉瘤，采用分叉型覆膜支架进行腔内修复是一种可行的替代方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8be1/11387682/18d4639ab67c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8be1/11387682/49b632dbc66d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8be1/11387682/41ed83eb3d7b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8be1/11387682/18d4639ab67c/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8be1/11387682/49b632dbc66d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8be1/11387682/41ed83eb3d7b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8be1/11387682/18d4639ab67c/gr3.jpg

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