髂总动脉瘤血管内排除与髂内动脉血管重建术的混合技术

Lisa Borges, Rui Machado, Carlos Pereira, Arlindo Matos, Rui Almeida
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引用次数: 0

摘要

作者提出了一个成功的临床报告血管内排除常见的髂动脉瘤和手术重建髂内动脉(IIA)。一例80岁男性病例报告,先前提交血管内修复主动脉髂动脉瘤。干预7年后,随访血管造影计算机断层显示右侧髂总动脉瘤进展为髂分叉和对侧髂内腔闭塞。患者接受了血管内和外科手术的混合治疗,通过右髂内腔阻断,髂外动脉-髂内腔搭桥假体和右髂总动脉瘤的血管内修复。手术很成功,术后无任何并发症。患者于术后第4天出院,至今无症状,影像学证据显示髂动脉瘤排除,无内漏,EIA - IIA旁路通畅。在复杂的主髂动脉瘤的治疗中,混合技术是一种影像学和临床成功率高、并发症发生率低的替代方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Técnica híbrida de exclusão endovascular de aneurisma ilíaco comum e revascularização cirúrgica da artéria ilíaca interna

The authors present a successful clinical report of endovascular exclusion of a common iliac aneurysm and surgical revascularization of the internal iliac artery (IIA).

Case report of an 80‐year‐old man, previously submitted to endovascular repair of an aortoiliac aneurysm. Seven years after this intervention, the follow‐up angiographic computerized tomography showed progression of the right common iliac artery aneurysm to the iliac bifurcation and occlusion of the contralateral IIA.

The patient was submitted to a hybrid endovascular and surgical procedure, through right IIA interruption, external iliac artery – IIA bypass graft with prosthesis and endovascular repair of the right common iliac artery aneurysm.

The procedure was successful and, as the post‐surgical period, free of any complication. The patient was discharged at the fourth day after surgery and, till this date, remains asymptomatic and with imagiologic evidence of iliac aneurysm exclusion, with no endoleak, and EIA – IIA bypass patency.

In the treatment of the complex aorto‐iliac aneurysms, the hybrid technique is an alternative associated to a high rate of imagiologic and clinical success, with a lower rate of complications.

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