Christensen L, Justesen P, Larsen K E
Department of Radiology, University Hospital, Odense, Denmark.
Acta Radiol. 1996 Jul;37(4):542-4. doi: 10.1177/02841851960373P223.
Evaluation of a covered stent in the treatment of an iliac pseudoaneurysm.
During PTCA, a 61-year-old man with angina pectoris was shown to have an asymptomatic pseudoaneurysm, 5 x 4 x 4 cm, of the left common iliac artery (CIA). The patient was not a candidate for surgery. The pseudoaneurysm was treated by insertion of a covered stent (8 mm/6 cm).
By 30 s after stent placement, the pseudoaneurysm was angiographically excluded. Twelve and 17 months after stent implantation, the patient had no symptoms from the lower extremities and the left CIA was open with normal flow in the stent.
Our case illustrates the ability of a covered stent to exclude a pseudoaneurysm. Percutaneous intravascular stent placement in the management of iliac pseudoaneurysms might be the treatment of choice in patients with increased risk of major anesthesia and surgery.
评估覆膜支架治疗髂总动脉假性动脉瘤的效果。
在经皮冠状动脉腔内血管成形术（PTCA）过程中，一名61岁患有心绞痛的男性被发现左髂总动脉（CIA）存在一个无症状的假性动脉瘤，大小为5×4×4厘米。该患者不适合进行手术。通过植入一个覆膜支架（8毫米/6厘米）对假性动脉瘤进行治疗。
在支架置入后30秒，血管造影显示假性动脉瘤被排除。支架植入后12个月和17个月，患者下肢无症状，左髂总动脉通畅，支架内血流正常。
我们的病例说明了覆膜支架排除假性动脉瘤的能力。对于麻醉和手术风险增加的患者，经皮血管内支架置入术治疗髂总动脉假性动脉瘤可能是首选治疗方法。
