Rückert R I, Romaniuk P, Rogalla P, Thieme T, Umscheid T, Stelter W J, Müller J M
Clinic of Surgery, Humboldt University Medical School (Charité), Berlin, Germany.
J Endovasc Surg. 1998 Nov;5(4):323-8. doi: 10.1583/1074-6218(1998)005<0323:CSAERO>2.0.CO;2.
To explore a method combining interventional, endovascular, and conventional surgical techniques for treating a completely occluded bifurcated stent-graft after endovascular aortic aneurysm repair.
A 60-year-old patient underwent endovascular repair of an abdominal aortic aneurysm (AAA) with a Talent bifurcated stent-graft. Five months later, after chronic thrombotic occlusion of the right iliac limb, he presented with acute occlusion of the entire stent-graft. Local intra-arterial infiltration thrombolysis successfully reconstituted flow through the main aortic segment and left iliac limb. With a combination of conventional surgical and intraoperative endovascular procedures, thrombectomy and recanalization of the right iliac limb was completed by stenting a severe stenosis of the proximal iliac limb.
A combination of techniques may be essential for successful management of thrombotic complications after endovascular AAA repair.
探索一种结合介入、血管内和传统外科技术来治疗腹主动脉瘤腔内修复术后完全闭塞的分叉型覆膜支架移植物的方法。
一名60岁患者接受了使用Talent分叉型覆膜支架移植物进行的腹主动脉瘤腔内修复术。五个月后，右髂支发生慢性血栓闭塞，随后整个支架移植物出现急性闭塞。局部动脉内浸润溶栓成功恢复了主动脉主段和左髂支的血流。通过传统外科手术与术中血管内操作相结合，对髂支近端严重狭窄处进行支架置入，完成了右髂支的血栓清除和再通。
对于成功处理腹主动脉瘤腔内修复术后的血栓并发症，技术的联合应用可能至关重要。
