血管内主动脉修复与阴茎分支内置假体治疗短常见阴茎动脉瘤
Satoshi Sakakibara1, Kazuo Shimamura1,2, Yoshiki Watanabe1
1Department of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.
Journal of vascular surgery cases and innovative techniques
|January 16, 2026
概括
在患有复杂动脉瘤的患者中,阴茎分支内置假体成功地保持了内阴茎动脉的血液流动. 这种技术提供了一种可行的解决方案,用于在内血管大动脉修复过程中维持重要动脉输液.
科学领域:
- 血管外科 血管外科
- 血管内修复 血管内修复
- 大动脉动脉瘤治疗方法
背景情况:
- 内血管大动脉修复 (EVAR) 是对腹部大动脉动脉瘤的常见治疗方法.
- 保持内动脉 (IIA) 流动对于预防盆腔缺血至关重要.
- 阴茎支部内置假体 (IBE) 提供了一种维持 IIA perfusion 的解决方案.
研究的目的:
- 描述一个使用阴茎枝内置假体来维持IIA输液的案例.
- 评估IBE在一个具有挑战性的解剖学场景中的技术成功和潜在有效性.
主要方法:
- 一名74岁的男性患者患有右侧常见阴动脉动脉瘤和左侧IIA阻塞.
- 一个阴茎支部内置假体被连接到AFX设备并部署.
- 该装置位于大动脉分支15毫米以上,以保持右侧IIA流动.
主要成果:
- 这项手术成功地保护了右侧内动脉的血液流动.
- 手术后的计算机断层扫描证实没有内脏泄漏.
- 已经证明了干预的技术成功.
结论:
- 阴茎支部内置假体是一种有效的方法来保持IIA的血液流动.
- 这种技术在复杂的病例中是有价值的,例如短的常见阴动脉.
- 在EVAR期间,IBE为维持盆腔输液提供了一个潜在的解决方案.
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