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首页> 外文期刊>Vascular and endovascular surgery >Endovascular Treatment of Simultaneous Iliac and Superficial Femoral Arterial Pseudoaneurysms After Stenting Procedure Complications
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Endovascular Treatment of Simultaneous Iliac and Superficial Femoral Arterial Pseudoaneurysms After Stenting Procedure Complications

机译:支架程序并发症后同质髂骨和表面股动脉伪肿瘤的血管内治疗

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摘要

Purpose: To report on the endovascular management of a patient affected by concomitant left common iliac artery and right superficial femoral artery (SFA) pseudoaneurysms after stent positioning. Case Report: A 77-year-old man affected by severe lower limb atherosclerosis was previously treated with iliac and femoropopliteal Supera stenting procedures; he presented to our emergency department because of bilateral severe claudication recurrence, back pain, and right groin region swelling. Angio-computed tomography (CT) depicted 2 pseudoaneurysms of the left common iliac artery and right SFA, due to stent fracture and stent intussusception, respectively. A 2-step endovascular treatment was planned using bilaterally covered stent-grafts to exclude vascular lesions from blood flow. The devices were successfully deployed without any complication. At 1 month, angio-CT confirmed patency of the implanted stent-grafts showing complete pseudoaneurysm exclusion without leaks. Conclusion: Endovascular approach can be a valid option in the treatment of pseudoaneurysms due to stenting procedure complications.
机译:目的:报告在支架定位后伴随伴随肝动脉和右侧表面股动脉(SFA)伪患者影响的患者的血管内管理​​。案例报告:先前用髂骨和股份质超级支架程序治疗了受严重下肢动脉粥样硬化的77岁的人;由于双侧严重跛行复发,背部疼痛和右腹股沟区肿胀,他介绍了我们的急诊部门。由于支架骨折和支架肠套叠,所描绘了左常见髂动脉和右SFA的2个伪肿瘤的血管基断层扫描(CT)。使用双侧覆盖的支架移植物计划2步血管内处理,以排除来自血流的血管病变。设备已成功部署,无任何并发症。在1个月,血管-CT确认了植入支架移植物的通畅,显示出完全伪肿瘤排除而不会泄漏。结论:由于支架程序并发症,血管内方法可以是治疗伪肿瘤的有效选择。

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