A Modified Technique of Open Surgical Treatment for Aneurysmal Sac Enlargement after Endovascular Repair

A. Hiraoka, H. Yoshitaka, G. Chikazawa, A. Ishida, T. Totsugawa, M. Kuinose
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引用次数: 7

Abstract

Introduction

Although several articles have reported the successful treatment of an abdominal aortic aneurysm (AAA) enlargement after endovascular aortic repair (EVAR) due to endoleak or endotension, the strategy to treat this type of complication is still controversial.

Report

We report three cases of AAA expansion after EVAR. When other endovascular approaches were not considered effective, we performed a modified open surgical treatment.

Discussion

This technique includes ligation of all branched vessels arising from the aneurismal sac, plication of the aneurysm and wrapping of the aneurysm using bio-prosthetic material instead of explanting the implanted endovascular graft.

血管内修复后动脉瘤囊肿大的开放手术治疗改进技术
虽然有几篇文章报道了血管内主动脉修复(EVAR)后由于内漏或内张导致的腹主动脉瘤(AAA)扩大的成功治疗,但治疗这类并发症的策略仍然存在争议。我们报告3例EVAR术后AAA扩张。当其他血管内入路被认为无效时,我们进行了改良的开放手术治疗。该技术包括结扎源自动脉瘤囊的所有分支血管,应用动脉瘤和使用生物假体材料包裹动脉瘤,而不是外植血管内移植物。
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