Sergio Asensio, Jose Antonio Brizuela, Alvaro Revilla, Sergio Fernández-Bello, James Henry Taylor, Enrique Maria San Norberto
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引用次数: 0
摘要
目的:本病例报告旨在介绍一种新的血管内栓塞技术,使用一种相对较新开发的血管内装置,形状记忆聚合物(SMP)栓塞塞(阻碍,形状记忆医学)。方法:66岁男性,无症状髂总动脉瘤,最大直径4.4 cm,既往行主动脉-双侧旁路手术。结果:采用5个单位的IMPEDE-FX快速填充(12 mm, Shape Memory Medical)栓塞髂总动脉瘤,并通过香蕉技术采用自动可扩张覆盖支架(Viabahn 10 × 100 mm, Gore)从髂外动脉到髂内动脉进行血运重建术。结论:使用该装置后获得的经验使我们增加了大容量动脉瘤栓塞的治疗武器库。
Endovascular Treatment of Common Iliac Aneurysm After Aortobifemoral Bypass: Banana Technique and Shape Memory Polymer Plug Embolization.
Objective: This case report aims to present a new endovascular technique for arterial embolization using a relatively recently developed endovascular device, Shape Memory Polymer (SMP) Embolization Plug (IMPEDE, Shape Memory Medical). Methods: A 66-year-old man presented an asymptomatic common iliac aneurysm with a maximun diameter of 4.4 cm and a previous aorto-bifemoral bypass. Results: An embolization of the common iliac artery aneurysm with 5 units of IMPEDE-FX Rapid Fill (12 mm, Shape Memory Medical) and revascularization from external iliac artery to internal iliac artery through a banana technique with an auto-expandable covered stent (Viabahn 10 × 100 mm, Gore) was performed. Conclusion: The experience obtained after the use of this device has allowed us to increase the therapeutic arsenal for high volume aneurysm embolization.