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首页> 外文期刊>Vascular and endovascular surgery >Endovascular Therapy for Spontaneous Ilio-Iliac Arteriovenous Fistula Due To Iliac Artery Aneurysm Rupture With Multi-Organ Dysfunction
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Endovascular Therapy for Spontaneous Ilio-Iliac Arteriovenous Fistula Due To Iliac Artery Aneurysm Rupture With Multi-Organ Dysfunction

机译：由于髂动脉动脉瘤破裂，具有多器官功能障碍导致的自发性ILIO-ILIAC动静脉瘘的血管疗法

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摘要

Iliac artery aneurysms can rarely present with rupture into adjacent iliac vein resulting in arteriovenous fistula leading to acute cardiac failure or multi-organ failure. End-organ damage can be reversed with timely diagnosis and intervention. Endovascular therapy is an attractive option to treat this pathology besides allowing for a quick recovery and mitigating the risk of mortality associated with open surgical treatment options. We report treatment of this pathology with Endovascular repair with preservation of ipsilateral hypogastric artery flow using an iliac branch graft device. The postoperative course was complicated by type 3 endoleak due to the separation of components between iliac branch graft and aortic stent graft with resultant recurrence of the fistula. Additional endovascular techniques, including placement of a venous stent and stent grafts to bridge the components, was used to treat the endoleak. We present this report due to the unique nature of the recurrent arteriovenous fistula, technical complexity, and resultant multi-organ dysfunction.
机译：髂动脉动脉瘤可以很少存在于邻近髂静脉中的破裂，导致动静脉瘘导致急性心脏衰竭或多器官衰竭。终端器官损坏可以及时诊断和干预逆转。血管内疗法是治疗该病理学的有吸引力的选择，除了允许快速恢复和缓解与开放外科治疗方案相关的死亡风险。我们报告了使用髂骨分支移植装置的血管内修复治疗这种病理学治疗同侧肿瘤动脉流动。由于髂骨分支移植物与主动脉支架移植物之间的分离，术后3末端通过3型胚乳与瘘管产生复发。使用额外的血管血管技术，包括放置静脉支架和支架移植物以弥合组件，用于治疗肌刀。由于复发动脉瘘，技术复杂性和多器官功能障碍的独特性，我们提出了本报告。

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