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血管内支架移植物治疗孤立性肾下腹主动脉夹层狭窄：一例报告。

Endovascular stent graft treatment for stenosis in isolated infrarenal abdominal aortic dissection: A case report.

作者信息

Ohta Kengo, Arahata Risa, Horiba Junji, Kaneko Hitomi, Kondo Kurando

机构信息

Department of Radiology, Nagoya City University, Nagoya, Japan.

出版信息

Acta Radiol Open. 2024 Dec 16;13(12):20584601241309006. doi: 10.1177/20584601241309006. eCollection 2024 Dec.

DOI:10.1177/20584601241309006
PMID:39691868
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11650475/
Abstract

We report a case of complicated isolated infrarenal abdominal aortic dissection (IAAD) that was treated with stent graft. A 79-year-old man presented with acute bilateral lower limb pain. A contrast-enhanced CT performed 2 h later revealed sever stenosis of infrarenal abdominal aorta due to IAAD. Angiography identified a primary tear just below the upper end of the IAAD. A smaller stent graft was placed distally to avoid stent graft-induced new entry, and a large stent graft was placed proximally to cover the primary entry. The stenosis improved immediately after the procedure, and pain relief was achieved. Stent graft placement for entry closure appeared to be an effective for IAAD.

摘要

我们报告一例采用覆膜支架治疗的复杂性孤立性肾下腹主动脉夹层（IAAD）病例。一名79岁男性因急性双侧下肢疼痛就诊。2小时后进行的增强CT显示，IAAD导致肾下腹主动脉严重狭窄。血管造影显示在IAAD上端下方有一个原发性破口。在远端放置一个较小的覆膜支架以避免覆膜支架导致新的破口，在近端放置一个大的覆膜支架以覆盖原发性破口。术后狭窄立即改善，疼痛缓解。覆膜支架置入术封闭破口对IAAD似乎是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b4/11650475/c00f574630e2/10.1177_20584601241309006-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b4/11650475/cf52c759cf6c/10.1177_20584601241309006-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b4/11650475/c00f574630e2/10.1177_20584601241309006-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b4/11650475/cf52c759cf6c/10.1177_20584601241309006-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/65b4/11650475/c00f574630e2/10.1177_20584601241309006-fig2.jpg

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本文引用的文献

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Procedure and Aortic Remodeling Effects of Entry Closure with Stentgraft for Type B Aortic Dissection: Comparison between the Patients with Narrow True Lumen and Those with Aneurysmal Dilated False Lumen.B型主动脉夹层覆膜支架腔内隔绝术封闭破口的操作及主动脉重塑效果：真腔狭窄与瘤样扩张假腔患者的比较
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Early Experience With a Novel Dissection-Specific Stent-Graft to Prevent Distal Stent-Graft-Induced New Entry Tears After Thoracic Endovascular Repair of Chronic Type B Aortic Dissections.新型特定解剖型支架移植物预防慢性B型主动脉夹层腔内修复术后远端支架移植物诱导的新破口撕裂的早期经验
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