使用CODA球囊和桥接支架对腹主动脉瘤腔内修复术中髂支移位进行血管腔内挽救：一例报告
Endovascular Salvage of Iliac Limb Maldeployment during EVAR Using a CODA Balloon and Bridging Stent: A Case Report.
作者信息
Mukherjee Dipankar, Amatya Bibhas
机构信息
Department of Vascular Surgery, Inova Fairfax Hospital, Falls Church, VA, USA.
Department of Surgery, University of Maryland School of Medicine, Baltimore, MD, USA.
出版信息
Vasc Specialist Int. 2025 Sep 5;41:23. doi: 10.5758/vsi.250041.
Iliac limb maldeployment during endovascular aneurysm repair (EVAR) is an uncommon but technically challenging complication. In this study, we present a case involving a patient with multiple comorbidities, including hypertension, hyperlipidemia, and coronary artery disease, who underwent EVAR for a progressively enlarging abdominal aortic aneurysm using the ALTO endograft. During the procedure, the right iliac limb was inadvertently deployed outside the contralateral gate into the aneurysm sac, resulting in maldeployment. This complication was successfully managed with endovascular salvage using a CODA balloon and a bridging stent graft. This case illustrates a variation of endovascular correction strategy adapted to the ALTO platform.
血管内动脉瘤修复术（EVAR）期间髂支展开不良是一种罕见但在技术上具有挑战性的并发症。在本研究中，我们报告了一例伴有多种合并症（包括高血压、高脂血症和冠状动脉疾病）的患者，该患者使用ALTO血管内移植物对逐渐增大的腹主动脉瘤进行了EVAR。在手术过程中，右侧髂支意外地被放置在对侧开口之外进入动脉瘤腔内，导致展开不良。使用CODA球囊和桥接支架移植物通过血管内挽救成功处理了这一并发症。该病例说明了适用于ALTO平台的血管内矫正策略的一种变体。
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