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肾下腔内血管主动脉修复术和双侧髂支移植物植入术后A型主动脉夹层的杂交修复术

Hybrid repair of type A aortic dissection after infrarenal endovascular aortic repair and bilateral iliac branched grafts.

作者信息

Dang Quynh-Anh L, O'Brien Ciaran S, Rothstein William, Brown Chase, Kalapatapu Venkat

机构信息

Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.

Division of Vascular Surgery and Endovascular Therapy, Hospital of the University of Pennsylvania, Philadelphia, PA.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Oct 26;11(1):101666. doi: 10.1016/j.jvscit.2024.101666. eCollection 2025 Feb.

DOI:10.1016/j.jvscit.2024.101666
PMID:39659824
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11629546/
Abstract

Type A dissection is infrequently reported after infrarenal endovascular aortic repair (EVAR). Here, we present a case of an EVAR with iliac branch endoprosthesis complicated by type A dissection requiring ascending arch repair. After hemiarch repair, the patient was noted to have residual type B dissection, malperfusion of the left renal artery, and compression of the EVAR with left external iliac limb occlusion. These were treated successfully with iliac thrombectomy and dissection stent placement.

摘要

肾下型腹主动脉腔内修复术（EVAR）后很少报道发生A型夹层。在此，我们报告1例髂支型血管内修复假体的EVAR病例，该病例并发A型夹层，需要进行升主动脉弓修复。半弓修复术后，发现患者存在残余B型夹层、左肾动脉灌注不良以及EVAR受压伴左髂外动脉肢体闭塞。通过髂动脉取栓和置入夹层支架成功治疗了这些问题。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f647/11629546/e1731eb54a88/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f647/11629546/f32abf4ef6d8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f647/11629546/fde264d43004/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f647/11629546/e1731eb54a88/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f647/11629546/f32abf4ef6d8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f647/11629546/fde264d43004/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f647/11629546/e1731eb54a88/gr3.jpg

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本文引用的文献

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J Vasc Surg Cases Innov Tech. 2023 Nov 10;10(1):101366. doi: 10.1016/j.jvscit.2023.101366. eCollection 2024 Feb.
2
De novo acute type B aortic dissection in two patients with previous infrarenal endovascular aortic aneurysm repair with EndoAnchors.两例曾接受EndoAnchors肾下型腹主动脉瘤腔内修复术的患者发生了新发急性B型主动脉夹层。
J Vasc Surg Cases Innov Tech. 2023 Feb 10;9(2):101120. doi: 10.1016/j.jvscit.2023.101120. eCollection 2023 Jun.
3
Hybrid repair strategies for acute type B aortic dissection complicating prior standard and complex endovascular aortic repair.
用于急性B型主动脉夹层合并既往标准及复杂血管腔内主动脉修复术的杂交修复策略。
J Vasc Surg Cases Innov Tech. 2023 Apr 27;9(2):101200. doi: 10.1016/j.jvscit.2023.101200. eCollection 2023 Jun.
4
Type A Thoracic Aortic Dissection Following Endovascular Repair of a Common Iliac Artery Aneurysm.髂总动脉瘤血管腔内修复术后发生的A型胸主动脉夹层。
Cureus. 2021 Mar 18;13(3):e13971. doi: 10.7759/cureus.13971.
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