Giovanni Spinella MD, Bianca Pane MD, Maria Cecilia Perfumo MD, Domenico Palombo MD
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引用次数: 4
摘要
56岁男性，左下腹腹痛。计算机断层血管造影显示髂轴夹层。两个Viabahn (W. L. Gore &;Associates, Flagstaff, Ariz)覆盖支架放置，从左髂总动脉开始到髂分叉处，关闭左髂总动脉近端剥离撕裂。然后放置一个自膨胀的EverFlex支架(EV3-Covidien, Plymouth，明尼苏达州)，桥接被覆盖的支架和左髂外动脉，覆盖再入撕裂处。无术后并发症。在随访期间，我们观察到假腔在12个月内出现进行性和完全性血栓形成。
Spontaneous iliac artery dissection treated with a combination of covered and self-expandable stents to preserve hypogastric patency
A 56-year-old man presented with abdominal pain in the left lower quadrant. Computed tomography angiography showed the presence of an iliac axis dissection.
Two Viabahn (W. L. Gore & Associates, Flagstaff, Ariz) covered stents were placed, starting from the beginning of the left common iliac artery to the iliac bifurcation, closing the proximal dissection tear in the left common iliac artery. A self-expandable EverFlex stent (EV3-Covidien, Plymouth, Minn) was then placed, bridging the covered stent and the left external iliac artery, covering the re-entry tear.
There were no postoperative complications. During follow-up, we observed a progressive and complete thrombosis of the false lumen in 12 months.
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