平行横隔动脉支架和排除有症状的水桶手柄横隔补丁动脉瘤
Nolan C Cirillo-Penn1, Bernardo C Mendes1, Taleen A MacArthur1
1Division of Vascular and Endovascular Surgery, Mayo Clinic, Rochester, MN.
Journal of vascular surgery cases and innovative techniques
|April 23, 2024
概括
手术后的肋间补丁动脉瘤存在风险. 用支架移植的内血管排除为这些具有挑战性的胸腔腹腔动脉瘤修复并发症提供了专门的解决方案.
科学领域:
- 血管外科 血管外科
- 血管内技术 血管内技术
- 动脉瘤修复 动脉瘤修复
背景情况:
- 肋间补丁动脉瘤是开放胸腔腹腔动脉瘤修复后的一个困难并发症.
- 这些动脉瘤具有可变的患者解剖学和脊髓缺血的显著风险.
- 管理这些复杂的案件需要专门的方法.
研究的目的:
- 为了呈现一个大型症状"桶手"循环移植肋间补丁动脉瘤的病例.
- 描述成功的内血管治疗这种具有挑战性的病理.
- 强调在胸腔腹腔动脉瘤修复中仔细规划的重要性.
主要方法:
- 一名51岁的男性患者患有有症状的"桶式"循环移植肋间补丁动脉瘤接受了治疗.
- 治疗涉及动脉瘤的内血管排除.
- 作为内血管修复的一部分,同时进行平行肋间间支架移植.
主要成果:
- 成功地实现了大肋间斑块动脉瘤的内血管排除.
- 患者同时接受了并发的肋间间支架移植.
- 该案例证明了针对这种罕见并发症的专门内血管技术的可行性.
结论:
- 内血管排除与并发的平行肋间支架移植是肋间补丁动脉瘤的可行治疗方法.
- 精心的手术规划对于开放式和内血管胸腔腹腔动脉瘤修复至关重要.
- 专门的内血管技术可以有效地管理复杂的修复后动脉瘤.
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