相关实验视频
Updated: Feb 17, 2026

08:51
A New Murine Model of Endovascular Aortic Aneurysm Repair
Published on: July 7, 2013
14.8K
血管内大动脉动脉瘤修复后内移植崩与急性大动脉封闭:一个案例报告
Mutsunori Kitahara1, Takuya Higuchi1, Taro Nakazato1
1Department of Cardiovascular Surgery, Kansai Rosai Hospital, Amagasaki, JPN.
Cureus
|February 16, 2026
概括
血管内大动脉动脉瘤修复 (EVAR) 的罕见并发症是内移植崩导致的急性大动脉封闭. 这一案例突出显示了一项成功的干预措施,以恢复EVAR后的下肢输液和功能.
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:
- 内血管大动脉动脉瘤修复 (EVAR) 是腹腔大动脉动脉瘤的常见治疗方法.
- 并发症虽然很少见,但会显著影响患者的治疗结果.
- 靠近内移植器的崩是一种罕见但严重的EVAR并发症.
研究的目的:
- 报告一个罕见的急性大动脉封闭病例,这是EVAR后近端内移植崩的次要原因.
- 描述诊断发现和成功管理这种并发症.
- 强调识别和及时治疗EVAR相关并发症的重要性.
主要方法:
- 一名72岁的男性患者接受了EVAR治疗,用于右常见动脉和内动脉动脉瘤.
- 患者在EVAR后一个月出现了急性双边下肢疼痛和残.
- 通过CT血管学证实了诊断,随后进行了双边Fogarty血栓切除和大动脉袖子放置.
主要成果:
- CT血管造影显示近端内移植崩和双边阴道内移植血栓形成.
- 在干预后成功恢复了下肢输液.
- 患者恢复了运动功能,并在术后第6天出院.
结论:
- 由于近端内移植崩而导致的急性大动脉封闭是一种罕见但至关重要的EVAR并发症.
- 及时诊断和及时干预,包括血栓切除和大动脉袖子放置,可以带来有利的结果.
- 这一案例强调了在EVAR后对患者进行潜在并发症监测时需要保持警.
相关概念视频
Aneurysm III: Interprofessional Care
324
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
324
Aortic Regurgitation I: Introduction
754
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
754
Aneurysm IV: Nursing Management
488
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
488
Aneurysm I: Introduction
449
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
449

