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经股动脉主动脉瓣植入术中血管并发症的股-股动脉搭桥术

Femoro-Femoral Bypass for a Vascular Complication During Transfemoral Aortic Valve Implantation.

作者信息

Omote Kazunori, Kamada Takeshi, Furugen Makoto, Ohori Shunsuke, Furugen Azusa, Sunaga Daisuke, Funayama Naohiro

机构信息

Department of Cardiology, Hokkaido Cardiovascular Hospital, Sapporo, JPN.

Department of Cardiothoracic Surgery, Hokkaido Cardiovascular Hospital, Sapporo, JPN.

出版信息

Cureus. 2025 Mar 26;17(3):e81239. doi: 10.7759/cureus.81239. eCollection 2025 Mar.

DOI:10.7759/cureus.81239
PMID:40291265
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12028066/
Abstract

A 94-year-old woman underwent transcatheter aortic valve implantation (TAVI) for treatment of severe aortic stenosis (AS). Final angiography showed the right external iliac artery occlusion due to vascular injury related to a large-diameter introducer sheath. Although we performed endovascular therapy, no guidewires could cross the culprit lesion because the intima had frapped and occluded the vessel lumen. Therefore, we performed femoro-femoral bypass for bailout of acute limb ischemia. Femoro-femoral bypass is a less invasive, shorter operation time and therefore a reasonable strategy as an urgent bailout for vascular complications during TAVI in super-aged or higher-risk surgical patients with severe AS.

摘要

一名94岁女性因严重主动脉瓣狭窄（AS）接受经导管主动脉瓣植入术（TAVI）。最终血管造影显示，由于与大口径导入鞘相关的血管损伤，右侧髂外动脉闭塞。尽管我们进行了血管内治疗，但由于内膜包裹并阻塞了血管腔，没有导丝能够穿过罪魁祸首病变。因此，我们进行了股-股旁路手术以挽救急性肢体缺血。股-股旁路手术侵入性较小，手术时间较短，因此对于患有严重AS的超高龄或高风险手术患者，作为TAVI期间血管并发症的紧急补救措施是一种合理的策略。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ae/12028066/ba862a711e12/cureus-0017-00000081239-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ae/12028066/30112b5d286e/cureus-0017-00000081239-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ae/12028066/b5fb34a475bf/cureus-0017-00000081239-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ae/12028066/754dc8cd963d/cureus-0017-00000081239-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ae/12028066/ba862a711e12/cureus-0017-00000081239-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ae/12028066/30112b5d286e/cureus-0017-00000081239-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ae/12028066/b5fb34a475bf/cureus-0017-00000081239-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ae/12028066/754dc8cd963d/cureus-0017-00000081239-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e4ae/12028066/ba862a711e12/cureus-0017-00000081239-i04.jpg

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