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经激光辅助移植血管内线圈栓塞治疗副肾动脉所致Ⅱ型内漏：病例报告

A type II endoleak from an accessory renal artery treated with laser assisted, transgraft coil embolization: A case report.

作者信息

Panagrosso Marco, Björse Katarina, Resch Timothy

机构信息

Division of Vascular Surgery, Department of Cardiovascular Sciences, S. Anna and S. Sebastiano Hospital, Caserta, Italy.

Department of Vascular Surgery, Rigshospitalet, Copenhagen, Denmark.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Aug 17;10(6):101598. doi: 10.1016/j.jvscit.2024.101598. eCollection 2024 Dec.

DOI:10.1016/j.jvscit.2024.101598
PMID:39319085
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11420474/
Abstract

The main complications of coverage accessory renal artery (ARA) are renal infarction and potentially renal function impairment and type II endoleak if firm apposition to the aortic wall is not achieved. We describe the management of an ARA type II endoleak treated by laser-assisted, transgraft coil embolization (LATE). A 76-year-old patient underwent a computed tomography scan 4 years after endovascular aneurysm repair. The computed tomography scan showed an increase of sac diameter with type II endoleak originating from the left ARA as an effect of aortic neck dilatation. ARA embolization was performed successfully via fusion-guided laser in situ fenestration and standard coil placement.

摘要

覆盖副肾动脉（ARA）的主要并发症是肾梗死、潜在的肾功能损害以及如果未实现与主动脉壁的牢固贴合则可能出现II型内漏。我们描述了一例通过激光辅助经移植物线圈栓塞术（LATE）治疗的ARA II型内漏的处理过程。一名76岁患者在血管内动脉瘤修复术后4年接受了计算机断层扫描。计算机断层扫描显示，由于主动脉颈部扩张，瘤囊直径增大，伴有源自左ARA的II型内漏。通过融合引导激光原位开窗和标准线圈置入成功进行了ARA栓塞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1df/11420474/f71290d3ba77/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1df/11420474/168f49e992ed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1df/11420474/7ec44b32f100/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1df/11420474/ed82a1c4378e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1df/11420474/0a266a4a4c44/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1df/11420474/f71290d3ba77/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1df/11420474/168f49e992ed/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1df/11420474/7ec44b32f100/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1df/11420474/ed82a1c4378e/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1df/11420474/0a266a4a4c44/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c1df/11420474/f71290d3ba77/gr5.jpg

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本文引用的文献

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Image Fusion Guidance for In Situ Laser Fenestration of Aortic Stent graft for Endovascular Repair of Complex Aortic Aneurysm: Feasibility, Efficacy and Overall Functional Success.血管内修复复杂主动脉瘤的原位激光开窗主动脉支架移植术中的图像融合引导：可行性、疗效和总体功能成功。
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Laser-Assisted Transgraft Embolization: A Technique for the Treatment of Type II Endoleaks.
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Prophylactic accessory renal artery coil embolization for prevention of type II endoleak following endovascular aneurysm repair: a case report.预防性副肾动脉线圈栓塞术预防血管内动脉瘤修复术后Ⅱ型内漏：一例报告
Surg Case Rep. 2017 Dec;3(1):58. doi: 10.1186/s40792-017-0334-y. Epub 2017 Apr 27.
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A unique case of a type II endoleak after EVAR caused by patent inferior mesenteric and accessory renal arteries.1例由肠系膜下动脉和副肾动脉通畅导致的腔内修复术后II型内漏的罕见病例。
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Type II endoleaks involving an accessory renal artery and the inferior mesenteric artery.涉及副肾动脉和肠系膜下动脉的 II 型内漏。
Cardiovasc Intervent Radiol. 2011 Feb;34(1):202-4. doi: 10.1007/s00270-010-0008-7. Epub 2010 Nov 5.
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Outcomes of accessory renal artery occlusion during endovascular aneurysm repair.血管内动脉瘤修复术中副肾动脉闭塞的结果。
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Exclusion of accessory renal arteries during endovascular repair of abdominal aortic aneurysms.腹主动脉瘤血管内修复术中副肾动脉的排除
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