经颈总动脉支架植入术治疗Takayasu动脉炎相关肠系膜上动脉瘤

H.Y. Zhang , D.Z. Chai , W.G. Fu , Y.Q. Wang , J. Yang , Z.H. Dong , Y. Shi , X. Xu
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引用次数: 0

摘要

Takayasu动脉炎的并发症通常是由进行性动脉狭窄引起的某些器官缺血,而扩张性病变或动脉瘤的形成相对罕见。报告一名43岁男性,腹部不适的主要依从者进行了增强计算机断层扫描,显示一个30mm × 23mm的肠系膜上动脉动脉瘤。由于肠系膜上动脉急性向下成角,且不适合放置更大的鞘状臂动脉,动脉瘤被通过颈总动脉入路支架移植排除。讨论经颈总动脉支架植入术是血管内治疗肠系膜上动脉瘤的一种可行的方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Takayasu's Arteritis-associated Superior Mesenteric Artery Aneurysm Treated by Stent-graft Implantation via the Common Carotid Artery

Introduction

Complications of Takayasu's arteritis are usually ischemia of certain organs caused by progressive arterial narrowing, while dilative lesions or formation of aneurysms are relatively uncommon.

Report

A 43-year-old man with the chief compliant of abdominal discomfort underwent an enhanced computed tomography scan which showed a 30 mm × 23 mm superior mesenteric artery aneurysm. Because of the acute downward angulation of the superior mesenteric artery and inappropriateness for larger sheath placement brachial arteries, the aneurysm was excluded with a stent-graft via the common carotid artery approach.

Discussion

Stent-graft implantation through the common carotid artery is a feasible approach for the endovascular treatment of superior mesenteric artery aneurysms when unfavorable anatomic limits exist.

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