The Use of Autologous Subcutaneous Fat Tissue to Embolize an Infected Iliac Artery Pseudoaneurysm.

IF 0.7 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Vascular and Endovascular Surgery Pub Date : 2023-10-01 Epub Date: 2023-07-30 DOI:10.1177/15385744231192880

M M P J Reijnen, M H van Werkum, F Frans, P M van Schaik

引用次数: 0

Abstract

We describe a patient with a fistula between small bowel and a polyester patch of the common iliac artery. After emergency treatment with an endograft, the patch was replaced by a venous patch. Within 3-week a symptomatic pseudoaneurysm developed. It was decided to embolize the pseudoaneurysm using autologous subcutaneous fat, followed by a femoro-femoral crossover bypass using an allograft. Using this technique, the pseudoaneurysm was successfully excluded. This case shows that subcutaneous fat tissue can be used as an autologous embolic material, also in larger vessel pathology and in cases of ongoing infection, where regular embolization material cannot be used.

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自体皮下脂肪组织栓塞感染的髂动脉假性动脉瘤。

我们描述了一名患者的小肠和髂总动脉聚酯贴片之间有瘘。在用内移植物进行紧急治疗后，用静脉补片代替了补片。3周内出现症状性假性动脉瘤。决定使用自体皮下脂肪栓塞假性动脉瘤，然后使用同种异体移植物进行股-股交叉搭桥术。利用这项技术，成功地排除了假性动脉瘤。该病例表明，皮下脂肪组织可以用作自体栓塞材料，也可以用于较大血管病理学和持续感染的情况，在这些情况下，不能使用常规栓塞材料。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE

CiteScore

1.70

自引率

11.10%

发文量

132

审稿时长

4-8 weeks

期刊介绍： Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).