Endovascular Procedure in Patient with Ruptured Abdominal Aortic Aneurysm after High-Risk Early Percutaneous Coronary Intervention

IF 0.5 Q4 PERIPHERAL VASCULAR DISEASE International Journal of Angiology Pub Date : 2022-04-19 DOI:10.1055/s-0041-1740316

T. Taofan, S. Adiarto, S. Indriani, Arindya Rezeki, E. Oepangat, R. M. Santoso

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Abstract

Purpose The aim of the study is to present the success of an endovascular procedure for ruptured abdominal aortic aneurysm (AAA) patient with high-risk non-ST elevation myocardial infarct (NSTEMI) after early percutaneous coronary intervention (PCI). Case Report A 56-year-old man came to our emergency room with a history of early PCI in the previous hospital and received dual antiplatelet therapy (DAPT). His COVID-19 test result was unknown. This patient was then being re-examined and was diagnosed with ruptured AAA. Despite his pending COVID-19 laboratory results, we decided to perform an urgent endovascular aortic repair (EVAR) in this patient, considering his DAPT consumption history. The procedure was successful and the patient's condition after EVAR showed improvements. Conclusion In patients with ruptured AAA with high-risk NSTEMI who just underwent early PCI and recently received DAPT, endovascular procedure can be considered as the treatment of choice since open surgery repair is contraindicated.

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高危早期经皮冠状动脉介入治疗后腹主动脉瘤破裂患者的血管内手术

目的:本研究旨在探讨血管内手术治疗早期经皮冠状动脉介入治疗(PCI)后腹主动脉瘤破裂(AAA)合并高危非st段抬高型心肌梗死(NSTEMI)的成功经验。病例报告1例56岁男性患者，既往行早期PCI病史，接受双重抗血小板治疗(DAPT)。他的新冠肺炎检测结果未知。然后对该患者进行了重新检查，并被诊断为AAA破裂。尽管他的COVID-19实验室结果尚未公布，但考虑到他的DAPT消费史，我们决定对该患者进行紧急血管内主动脉修复(EVAR)。手术是成功的，EVAR后患者的病情有所改善。结论对于早期刚行PCI且近期行DAPT的AAA破裂合并高危非stemi患者，由于开放手术修复是禁忌，可以考虑选择血管内手术治疗。

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