[老年患者髂动脉动脉瘤。覆膜内支架治疗的作用]
[Aneurysm of the iliac artery in an elderly subject. Role of treatment with covered endoprosthesis].
作者信息
Rojas M, Marzelle J, Aymard A, Hadrami J, Mourot J, Chotard Y
机构信息
Service de Cardiologie, Centre hospitalier de Courbevoie-Neuillysur-Seine.
出版信息
Presse Med. 1998 Nov 28;27(37):1890-2.
BACKGROUND
Coated stents can be an alternative to open surgery for arterial aneurysms, particularly in patients with high operative risk.
CASE REPORT
A 90-year-old man with advanced stage cardiopathy developed a 52 mm aneurysm of the iliac artery. Perioperative imaging (arteriography with marked catheter, CT-scan and endovascular ultrasonography) provided a precise description. The material used (PTFE coated thermal memory endoprosthesis, balloon in the hypogastric) provided effective exclusion.
DISCUSSION
Endovascular treatment can be a useful alternative to open surgery for arterial aneurysm in the very elderly.
背景
带膜支架可作为动脉动脉瘤开放手术的替代方法，尤其适用于手术风险高的患者。
病例报告
一名患有晚期心脏病的90岁男性发生了52毫米的髂动脉瘤。围手术期成像（带标记导管的动脉造影、CT扫描和血管内超声检查）提供了精确描述。所使用的材料（聚四氟乙烯涂层热记忆内支架、腹下动脉内球囊）实现了有效封堵。
讨论
对于高龄患者的动脉动脉瘤，血管内治疗可作为开放手术的有效替代方法。
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