Dissection Inside the Stent Graft after Previous Thoracic Endovascular Aortic Repair.

IF 5.7 1区医学 Q1 PERIPHERAL VASCULAR DISEASE

European Journal of Vascular and Endovascular Surgery Pub Date : 2025-06-18 DOI:10.1016/j.ejvs.2025.06.022

Yi Liu, Jifu Lai

引用次数: 0

Abstract

A 45 year old man was admitted to hospital after follow up computed tomography angiography (CTA) revealed a neointimal tear with a dissection inside the stent graft (A, B, arrow). He had a previous history of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) infection and thoracic endovascular aortic repair (T-EVAR) using a Hercules stent graft (MicroPort, Shanghai, China) performed because of a type B intramural haematoma with a focal ulcer like projection. Despite the absence of symptoms, the patient underwent a secondary relining T-EVAR using the same type of Hercules stent graft. At one year follow up, no complications or recurrence of the disease were observed, while control CTA showed good aortic remodelling.

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先前胸腔血管内主动脉修复后支架内的夹层。

一名45岁男性患者在随访后的计算机断层血管造影（CTA）显示新内膜撕裂并支架内夹层（A， B，箭头）。患者既往有SARS-CoV-2（严重急性呼吸综合征冠状病毒2）感染史，因B型内壁血肿伴局灶性溃疡样突出，采用Hercules支架（MicroPort, Shanghai, China）行胸血管内主动脉修复术（T-EVAR）。尽管没有症状，但患者使用相同类型的Hercules支架进行了二次复线T-EVAR。在一年的随访中，没有观察到并发症或疾病复发，而对照CTA显示良好的主动脉重塑。

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

European Journal of Vascular and Endovascular Surgery 医学-外科

CiteScore

6.80

自引率

15.80%

发文量

471

审稿时长

66 days

期刊介绍： The European Journal of Vascular and Endovascular Surgery is aimed primarily at vascular surgeons dealing with patients with arterial, venous and lymphatic diseases. Contributions are included on the diagnosis, investigation and management of these vascular disorders. Papers that consider the technical aspects of vascular surgery are encouraged, and the journal includes invited state-of-the-art articles. Reflecting the increasing importance of endovascular techniques in the management of vascular diseases and the value of closer collaboration between the vascular surgeon and the vascular radiologist, the journal has now extended its scope to encompass the growing number of contributions from this exciting field. Articles describing endovascular method and their critical evaluation are included, as well as reports on the emerging technology associated with this field.