Lugmayr H, Hartl P, Schwarz C, Zisch R
Abteilung Radiologie I, Barmherzigen Schwestern vom Heiligen Kreuz, Wels.
Dtsch Med Wochenschr. 1993 Apr 8;118(14):499-502. doi: 10.1055/s-2008-1059355.
A 56-year-old man had intermittent claudication in the right leg for 11 months, gradually worsening of late. Digital subtraction angiography demonstrated an aneurysm, 8 x 2.5 cm, of the right common iliac artery and 70% stenosis of the right external iliac artery. As the patient refused full surgical intervention the aneurysm was treated by the insertion of two exactly adjoining wall stents (diameter 9 mm, length 7 cm), and the arterial stenosis was balloon-dilated. One month after stent implantation the aneurysm had thrombosed outside of the stent and the stent lumen was being perfused normally. 6 months later the local findings were identically. The patient remained symptom-free. --The case illustrates that management of circumscribed aneurysms by stent implantation could well be an alternative to surgical treatment, as long as the stent can prevent enlargement and rupture of the aneurysm.
一名56岁男性右腿间歇性跛行11个月，后期逐渐加重。数字减影血管造影显示右侧髂总动脉有一个8×2.5厘米的动脉瘤，右侧髂外动脉狭窄70%。由于患者拒绝接受全面手术干预，动脉瘤通过植入两个紧密相邻的壁式支架（直径9毫米，长度7厘米）进行治疗，动脉狭窄则通过球囊扩张处理。支架植入后1个月，动脉瘤在支架外形成血栓，支架管腔灌注正常。6个月后局部情况相同。患者无症状。——该病例表明，只要支架能防止动脉瘤扩大和破裂，通过支架植入治疗局限性动脉瘤很可能是手术治疗的一种替代方法。
