Management of acute limb ischemia after glue embolization of endoleak following endovascular abdominal aortic aneurysm repair

Maged M. Metias MSc , Ahmed Kayssi MD, MSc, MPH , Thomas F. Lindsay MDCM, MSc , Dheeraj K. Rajan MD
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引用次数: 1

Abstract

We describe the case of a 73-year-old woman who developed a type II endoleak and subsequent aneurysm sac expansion following endovascular abdominal aortic aneurysm repair. The endoleak was treated with a translumbar direct sac puncture and injection with n-butyl-2-cyanoacrylate. During the injection procedure, glue embolized distally, lodging into the right popliteal, proximal anterior tibial, and tibioperoneal arteries, causing acute limb ischemia that led to an emergency embolectomy. The patient recovered well, and the postoperative course was unremarkable. Acute limb ischemia secondary to glue embolization during endoleak management is rare, with potentially catastrophic complications that require urgent operative repair.

腹主动脉瘤腔内修补术后胶栓栓塞致急性肢体缺血的处理
我们描述的情况下,73岁的妇女谁发展II型内漏和随后的动脉瘤囊扩张后,血管内腹主动脉瘤修复。采用经腰椎直接囊穿刺和注射正丁基-2-氰基丙烯酸酯治疗内漏。在注射过程中,胶水远端栓塞,进入右腘动脉、胫骨前动脉近端和胫腓动脉,造成急性肢体缺血,导致紧急栓塞切除术。患者恢复良好,术后病程无明显变化。在内漏处理过程中,胶栓塞引起的急性肢体缺血是罕见的,有潜在的灾难性并发症,需要紧急手术修复。
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