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首页> 外文期刊>Vascular and endovascular surgery >Peripheral Artery Stent Dehiscence: Percutaneous Management
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Peripheral Artery Stent Dehiscence: Percutaneous Management

机译：外周动脉支架Dehiscence：经皮管理

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An elderly male presented with left abdominal swelling of 1-week duration and inability to move the left lower limb. He had undergone bilateral common iliac and left external iliac artery stenting with self-expandable stents for aortoiliac occlusive disease 1 month back. Clinical examination revealed tender abdominal nonpulsatile mass with systolic bruit. Ultrasonography suggested retroperitoneal hematoma. His hemoglobin was 7 g%. Echocardiogram showed ejection fraction of 40%. Computed tomography angiogram revealed large 10 x 10 retroperitoneal hematoma with possibility of continued bleeding from the left external iliac artery. He was taken up for urgent catheterization after consultation with the vascular surgeons who deemed him high risk for surgery in view of left ventricular dysfunction. Abdominal aortogram showed diffuse extravasation of contrast from the junction of left common iliac artery and external iliac artery into the retroperitoneal space. Sustained balloon occlusion of the vessel across the extravasated portion was done, still the leak persisted. Two covered stents were deployed in the external iliac artery overlapping each other, percutaneously resulting in complete closure of leak with good distal runoff. His symptoms improved considerably the next day with a decrease in abdominal swelling and he was able to move his left lower limb. Ultrasound of the abdomen showed regression of the retroperitoneal hematoma and no suspicion of leak. Computed tomography angiogram done 10 days and 2 months later showed regression of retroperitoneal hematoma and no extravasation with good peripheral runoff.
机译：一名老年男性呈现为1周持续时间的左腹部肿胀，无法移动左下肢。他经历了双侧常见的髂骨，留下了与自膨胀支架的外部髂动脉，1个月回来1个月。临床检查揭示了患有收缩带腹部的腹部非乳液质量。超声检查表明腹膜后血肿。他的血红蛋白为7克％。超声心动图显示出射血分数为40％。计算机断层造影血管造影显示大量的10×10腹膜内血肿，具有从左外部髂动脉继续出血的可能性。鉴于左心室功能障碍咨询后，他被咨询后咨询了血管外科医生的紧急导管。腹主动脉图显示出与左常见髂动脉和外部髂动脉结合的对比度的弥漫性外渗进入腹膜内空间。持续的气球闭塞穿过渗透部分，仍然泄漏持续存在。在外部髂动脉中部署了两个覆盖的支架，彼此重叠，经过皮质，导致完全闭合泄漏，良好的远端径流。他的症状大大改善了第二天，随着腹部肿胀的减少，他能够移动他的左下肢。腹部的超声显示腹膜后血肿的回归，无疑是泄漏。计算断层扫描血管造影10天和2个月后显示出回归腹膜后血肿，并且没有良好的外围径流脱位。

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