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首页> 外文期刊>Vascular and endovascular surgery >Snorkel Technique for Inferior Mesenteric Artery During Endovascular Repair of Abdominal Aortic Aneurysm
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Snorkel Technique for Inferior Mesenteric Artery During Endovascular Repair of Abdominal Aortic Aneurysm

机译：腹腔内动脉瘤腹血管修复期间肠膜内动脉的呼吸管技术

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Purpose: The snorkel technique is commonly used to preserve renal arteries in juxta renal aneurysm during endovascular repair. Herein, we present a patient who underwent bifurcated endograft implantation with snorkel technique for inferior mesenteric artery (IMA) in order to preserve the major source of bowel circulation. Case Report: A 69-year-old male patient was diagnosed with abdominal aortic aneurysm. His history revealed that he had bowel resection due to a car accident 30 years ago. In addition, he was given relaparotomy 4 times due to intestinal complications. Computed tomography showed fusiform aneurysm with a maximal diameter of 60 mm and chronical occlusion of the superior mesenteric artery. Inferior mesenteric artery was found to be hypertrophic. During EVAR, 6 mm × 10 cm covered VIABAHN Endoprosthesis (Gore Medical) was implanted to the IMA over a 0.018 guidewire via puncture of the left axillary artery. Initially, the main body of the aortic stent-graft (Gore C3, size 23-14-16) was implanted to the infra renal segment of the aorta (below the renal arteries and the orifice using VIABAHN) via the right femoral artery. Next, the contralateral leg (Gore, 14-12-00) was implanted. Computed tomography was examined at 1- and 32-month postoperatively, and no endoleak or patency of IMA stent was detected. Conclusion: In this case of IMA-dependent circulation of the intestinal system, the protection of IMA via snorkel technique was successful.
机译：目的：呼吸管技术通常用于在血管内修复期间保持Juxta肾动脉瘤中的肾动脉。在此，我们提出了一种患者，患者用呼吸管技术进行分叉的内切移植植入，用于脱肠膜肠道动脉（IMA），以保持肠循环的主要来源。案例报告：患有腹主动脉瘤的69岁的男性患者被诊断出来。他的历史透露，他30年前由于车祸引起了肠切除。此外，由于肠道并发症，他被重新转移4次。计算机断层扫描显示出梭形动脉瘤，最大直径为60毫米，慢性肠系膜动脉的慢性闭塞。发现较差的肠系膜动脉是肥厚的。在EVAR期间，通过左腋动脉的穿刺将6mm×10cm覆盖的100毫升覆盖的ViaBahn内科抑制（血红音医用）植入IMA。最初，通过右股动脉将主动脉支架移植物（GORE C3，尺寸23-14-16）的主体植入主动脉（肾动脉和孔口下方的肾动脉和孔口）的肾脏区段。接下来，植入对侧腿部（血小血，14-12-00）。术后1-和32个月检查了计算的断层扫描，没有检测到IMA支架的止回阀或通畅。结论：在这种情况下，IMA依赖于IMA依赖性肠系系统，通过呼吸管技术对IMA的保护成功。

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