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包括世界上首次在Anaconda FEVAR中使用BeFlared技术的多动脉瘤疾病分期治疗。

Staged Therapy of Polyaneurysmal Disease Including the World's First BeFlared Use in Anaconda FEVAR.

作者信息

Keschenau Paula R, Elshafei Sharif, Kalder Johannes

机构信息

Department of Adult and Pediatric Cardiovascular Surgery, University Hospital Giessen and Marburg Campus Giessen, Giessen, Germany.

出版信息

Thorac Cardiovasc Surg Rep. 2025 May 26;14(1):e12-e15. doi: 10.1055/a-2591-9692. eCollection 2025 Jan.

Abstract

BACKGROUND

Abdominal aortic aneurysms frequently coincide with popliteal artery aneurysms. The association with multiple peripheral aneurysms, sometimes called polyaneurysmal disease, is less frequent.

CASE DESCRIPTION

An 82-year-old male was diagnosed with polyaneurysmal disease. He was treated by femoral, popliteal, and profundal interposition grafts as well as fenestrated endovascular repair (FEVAR) using an Anaconda (Terumo Aortic, Inchinnan, Scotland) endoprosthesis combined with BeGraft peripheral and BeFlared (BF) bridging stent grafts (Bentley InnoMed, Hechingen, Germany).

CONCLUSION

Polyaneurysmal disease in an aged patient can be treated successfully by thorough case planning, staging of procedures, and combining different vascular surgical techniques. It demonstrates the smooth implantation of the BeFlared in an Anaconda FEVAR.

摘要

背景

腹主动脉瘤常与腘动脉瘤同时存在。与多个外周动脉瘤的关联,有时称为多动脉瘤病,较为少见。

病例描述

一名82岁男性被诊断为多动脉瘤病。他接受了股动脉、腘动脉和股深动脉间置移植术,以及使用Anaconda(泰尔茂主动脉公司,苏格兰因钦南)血管内支架结合BeGraft外周和BeFlared(BF)桥接支架移植物(德国黑兴根本特利创新医疗公司)的开窗血管内修复术(FEVAR)。

结论

老年患者的多动脉瘤病可通过全面的病例规划、手术分期以及结合不同的血管外科技术成功治疗。它展示了BeFlared在Anaconda FEVAR中的顺利植入。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7e5f/12105932/36f717b5c8bc/10-1055-a-2591-9692-i1220240506crv-1.jpg

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本文引用的文献

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Genetic variants in patients with multiple arterial aneurysms.
Langenbecks Arch Surg. 2024 Oct 9;409(1):304. doi: 10.1007/s00423-024-03488-5.
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The Society for Vascular Surgery clinical practice guidelines on popliteal artery aneurysms.
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Systematic Review of the Co-Prevalence of Arterial Aneurysms Within the Vasculature.
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