血管内主动脉瘤修复破裂2年后再次破裂。

IF 0.7 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Vascular and Endovascular Surgery Pub Date : 2023-10-01 Epub Date: 2023-03-24 DOI:10.1177/15385744231166797

Konstantinos G Moulakakis, Andreas Tsimpoukis, Konstantinos Katsanos, Eleni Sintou, Spyros Papadoulas

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引用次数: 0

摘要

血管内主动脉瘤修复术（EVAR）破裂后2年再次破裂是一种极为罕见的事件，文献中的数据有限。我们介绍了一个有趣的病例，一名腹主动脉破裂的患者在因IA型内漏而进行EVAR后破裂的血管内修复前接受了2年的治疗。患者接受了IA型内漏的成功栓塞治疗。玛瑙用于密封主动脉壁和内移植物之间的沟槽，栓塞后1个月的CT显示完全密封，囊中没有造影剂。破裂两年后，他再次出现血液动力学休克和不稳定的临床症状。紧急CT血管造影显示IA型内漏再次破裂。病人接受了紧急剖腹手术。我们分析了EVAR后的再破裂，同时考虑了文献中的数据。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Re-Rupture 2 Years after Endovascular Aortic Aneurysm Repair Rupture.

Re-rupture 2 years after endovascular aortic aneurysm repair (EVAR) rupture is an extremely rare event and limited data exist in the literature. We present an interesting case of a patient with an abdominal aortic rupture that had undergone 2 years before an endovascular repair for rupture after EVAR due to a type IA endoleak. The patient underwent a successful embolization of the type IA endoleak. Onyx was used to seal the gutter between the aortic wall and the endograft and the 1-month post-embolization CT showed complete sealing with no contrast in the sac. Two years after the rupture, he was presented again with clinical signs of hemodynamic shock and instability. An urgent CT Angiograph showed again rupture due to a type IA endoleak. The patient underwent an emergency open laparotomy. We analyze the re-rupture after EVAR while taking data from the literature into account.

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来源期刊

Vascular and Endovascular Surgery SURGERY-PERIPHERAL VASCULAR DISEASE

CiteScore

1.70

自引率

11.10%

发文量

132

审稿时长

4-8 weeks

期刊介绍： Vascular and Endovascular Surgery (VES) is a peer-reviewed journal that publishes information to guide vascular specialists in endovascular, surgical, and medical treatment of vascular disease. VES contains original scientific articles on vascular intervention, including new endovascular therapies for peripheral artery, aneurysm, carotid, and venous conditions. This journal is a member of the Committee on Publication Ethics (COPE).