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应用多个支架移植物成功紧急血管内治疗医源性血管成形术后髂总动脉及髂外动脉破裂

SUCCESSFUL URGENT ENDOVASCULAR TREATMENT OF IATROGENIC POST-ANGIOPLASTY RUPTURE OF COMMON AND EXTERNAL ILIAC ARTERY WITH MULTIPLE STENT GRAFTS.

作者信息

Perkov Dražen, Tičinović Nino, Jurca Ivana, Novačić Karlo

机构信息

University Hospital Center Zagreb, Department of diagnostic and interventional radiology, Kišpatićeva 12, 10000 Zagreb, Croatia.

School of Medicine of the University of Zagreb, Šalata 3b, 10000 Zagreb, Croatia.

出版信息

Acta Clin Croat. 2024 Mar;63(Suppl1):62-66. doi: 10.20471/acc.2024.63.s1.11.

Abstract

Iatrogenic injury of the peripheral arteries is becoming more common as the number of endovascular interventions grows. Percutaneous angioplasty of the iliac artery may cause a variety of problems, including arterial rupture, which can be fatal. We report a patient with simultaneous iatrogenic rupture of the right common and external iliac arteries during percutaneous transluminal angioplasty resulting in a life-threatening retroperitoneal haemorrhage that was treated successfully with the use of three balloon expandable stent grafts to seal the rupture.

摘要

随着血管内介入治疗数量的增加,医源性外周动脉损伤正变得越来越常见。髂动脉经皮血管成形术可能会引发多种问题,包括动脉破裂,这可能是致命的。我们报告了一例在经皮腔内血管成形术期间同时发生右髂总动脉和髂外动脉医源性破裂的患者,导致危及生命的腹膜后出血,通过使用三个球囊可扩张支架移植物成功封堵破裂得以治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5c1f/12207852/8a8c979b2b49/acc-63_supp1-62-f1.jpg

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