用开放手术对肠系膜上动脉瘤进行血管内治疗后支架破裂的治疗。

IF 1 4区医学 Q4 PERIPHERAL VASCULAR DISEASE Vascular Pub Date : 2024-08-01 Epub Date: 2023-02-17 DOI:10.1177/17085381231158440

Yiwei He, Jun Zhang, Gangzhi Li, Haining Zhou

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引用次数: 0

摘要

背景：血管内修复动脉瘤后，内脏动脉瘤（VAAs）的进展往往伴随着支架断裂的潜在风险。临床报道的内脏动脉瘤支架断裂伴支架移位的病例极为罕见，但却是严重的并发症，尤其是肠系膜上动脉瘤（SMAA）：我们在此报告了一名 62 岁的女性患者，她在使用线圈栓塞和两个部分重叠支架移植物成功进行肠系膜上动脉瘤血管内修复术 2 年后，再次出现肠系膜上动脉瘤症状。结果和结论：患者恢复良好：结果和结论：患者恢复良好。作为血管内修复术后的并发症之一，支架断裂可能比SMAA本身更危险，通过开放手术治疗血管内修复术后的支架断裂并取得满意效果是可选的可行方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Treatment of stent rupture after endovascular treatment of superior mesenteric aneurysm with open surgery.

Background: The progress of visceral artery aneurysms (VAAs) after the endovascular repair of artery aneurysms is often accompanies by the potential risks of stent fracture. The clinical reported cases of VAAs stent fractures with stent displacement were extremely rare but severe complication, particularly for the superior mesenteric artery aneurysm (SMAA).

Method: We here reported a 62-year-old female patient with recurrent symptoms of SMAA 2 years after the successful endovascular repair using coil embolization and two partial overlapping stent-grafts in SMAA. The open surgery was performed instead of secondary endovascular intervention.

Result and conclusion: The patient experienced a good recovery. As one of the complications after endovascular repair, stent fracture maybe more dangerous than SMAA itself, the stent fracture after endovascular repair treated by open surgery with satisfactory results is alternative and feasible.

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来源期刊

Vascular 医学-外周血管病

CiteScore

2.30

自引率

9.10%

发文量

196

审稿时长

6-12 weeks

期刊介绍： Vascular provides readers with new and unusual up-to-date articles and case reports focusing on vascular and endovascular topics. It is a highly international forum for the discussion and debate of all aspects of this distinct surgical specialty. It also features opinion pieces, literature reviews and controversial issues presented from various points of view.