Anaphylactoid reactions during implantation of polymer-filled ring stent grafts for treatment of abdominal aortic aneurysms

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2024-06-04 DOI:10.1016/j.jvscit.2024.101551

Félix H. Savoie-White MD, MSc , Caroline Marchand MD , Ievgen Gegiia MD, MSc , Yves Lachance-Lemay MD , Nathalie Gilbert MD , Julien Bernatchez MD, MSc , Ghislain Nourissat MD, MSc

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引用次数: 0

Abstract

Polymer ring stent grafts from Endologix are reliable to treat challenging abdominal aortic aneurysm anatomy (hostile neck and tortuous or narrow iliac arteries). Rare cases of anaphylactoid reactions have been reported during the filing time of the graft rings due to polymer leakage. Management with amines, an antihistamine drug, and supportive care quickly stabilized both of our patients, which permitted the continuation and completion of their surgery. In our experience, there was no death-related events nor negative impact on patients surgical and clinical outcomes. We report on polymer leakage using the Ovation IX and ALTO stent grafts resulting in an anaphylactoid reaction.

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植入用于治疗腹主动脉瘤的聚合物填充环形支架移植物过程中的过敏性反应

Endologix 公司生产的聚合物环形支架移植物在治疗具有挑战性的腹主动脉瘤解剖结构（狭窄的颈部和迂曲或狭窄的髂动脉）时非常可靠。据报道，在移植物环存档期间，由于聚合物渗漏而发生过敏性反应的病例很少见。使用胺类药物、抗组胺药物和支持性护理后，我们的两名患者病情很快稳定下来，从而得以继续并完成手术。根据我们的经验，没有发生死亡相关事件，也没有对患者的手术和临床结果产生负面影响。我们报告了使用 Ovation IX 和 ALTO 支架移植物时聚合物渗漏导致的过敏性反应。

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

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.