R M Faruqi, T A Chuter, L M Reilly, R Sawhney, S Wall, C Canto, L M Messina
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引用次数: 44
Abstract
Purpose: To report an unusual case of endovascular abdominal aortic aneurysm (AAA) exclusion in which a fenestrated stent-graft was used to seal a proximal Type I endoleak.
Methods and results: An 84-year-old man with a 6.0-cm AAA underwent an aortomonoiliac aneurysm exclusion procedure that was complicated by a proximal endoleak. Because the patient had no right kidney, an additional stent-graft was designed to cover the right renal artery stump while preserving left renal perfusion through a fenestration in the graft material. This approach was successful in obliterating the endoleak around the proximal attachment site, but flow through the lumbar arteries remained.
Conclusions: The use of a fenestrated stent-graft is feasible, but the type of fenestration in this case has limited applicability owing to the rarity of patients with suitable anatomy.
目的:报告一例不寻常的血管内腹主动脉瘤(AAA)排除病例,其中开窗支架移植用于封闭近端I型内漏。方法和结果:一名84岁男性,6.0 cm AAA,因近端内漏而行腹主动脉单髂动脉瘤排除术。由于患者没有右肾,因此设计了一个额外的支架移植物来覆盖右肾动脉残端,同时通过移植物材料的开窗保留左肾灌注。该入路成功地消除了近端附着部位周围的内漏,但仍有血流通过腰椎动脉。结论:采用开窗支架移植是可行的,但由于具有合适解剖结构的患者很少,因此在本病例中开窗类型的适用性有限。