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腹腔支架移植用线圈栓塞用于腹腔大动脉动脉瘤囊,具有短子
Daisuke Sakamoto1, Takuya Sakamoto2, Yasuhiro Nagayoshi3
1Cardiovascular Surgery, Kanazawa Medical University Hospital, Uchinada, JPN.
Cureus
|May 27, 2024
概括
这项研究显示了一种新的内血管修复技术,用于腹腔大动脉动脉瘤 (AAA) 短. 该程序成功地解决了内脏泄漏和减少了动脉瘤大小,这表明对复杂的AAA病例的有效性.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 大动脉动脉瘤修复修复
背景情况:
- 腹腔大动脉动脉瘤 (AAA) 具有短的下子,由于高风险的Ia型内泄症,对内血管修复构成挑战.
- 严重的大动脉化进一步增加了内脏漏洞和AAA修复期间技术困难的风险.
研究的目的:
- 为了评估内血管腹腔大动脉动脉瘤修复的有效性,在一个有短AAA和严重大动脉化的患者中使用线圈栓塞.
- 评估干预后Ia型内孔和动脉瘤囊行为的解决.
主要方法:
- 一名68岁的男性患者,两AAA和一个短的化子,接受了EVAR.
- 在动脉瘤囊的初始导管注射后,部署了支架移植.
- 线圈栓塞在动脉瘤部进行,以管理Ia型内皮瘤.
主要成果:
- 该程序成功地解决了Ia型内皮病.
- 干预后一年,没有证据表明内皮泄漏.
- 在一年的随访期间,动脉瘤囊的大小减少了10毫米.
结论:
- 内血管修复与线圈栓塞相结合,似乎是治疗短AAA的有效策略.
- 这种技术可能为由于解剖学挑战而面临内泄漏高风险的患者提供一个可行的选择.
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