摘要
目的初步探讨髂动脉假性动脉瘤合并动静脉瘘的腔内治疗技术及临床疗效。方法回顾性分析1例采用分叉型覆膜支架治疗病例的临床资料,并且复习相关文献。结果右侧髂总动脉假性动脉瘤及动静脉瘘被成功封闭,患者临床症状迅速改善,术后造影见Ⅳ型内漏,3个月后随访消失,但发现右侧髂动脉支架闭塞,球囊扩张后血流恢复通畅,术后半年随访无异常。结论髂动脉瘤合并动静脉瘘的腔内治疗有一定的优势,与外科手术相比是一种更安全和有效的治疗手段,具有临床应用前景。
Objective to evaluate the endovascular treatment clinical efficacy of arteriovenous fistula of iliac artery pseudoaneurysm.Methods A retrospective analysis of one case application of endovascular treatment with bifurcated stent graft and review of the literature are discussed.Results The right iliac artery pseudoaneurysm and arteriovenous fistula were repaired with type 4 endoleak.The clinical symptom was improved rapidly.After 3 months,angiogram revealed that endoleak had disappeared,but right graft limb occluded,which restored patency by angioplasty and was good till 6 months later.Conclusion Endovascular treatment of arteriovenous fistula of iliac artery pseudoaneurysm seems to offer a safer and a more efficient approach compared to traditional open repair.So there are certain advantages in clinical application.
出处
《血管与腔内血管外科杂志》
2015年第Z1期146-150,共5页
Journal of Vascular and Endovascular Surgery
关键词
假性动脉瘤
动静脉瘘
腔内治疗
pseudoaneurysm
arteriovenous fistula
endovascular treatment
