کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
8653377 | 1574179 | 2018 | 18 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Endovascular Aortic Repair Complications and the Power of Endovascular Solutions
ترجمه فارسی عنوان
عوارض ریکاوری آندواسکولار و قدرت راه حل های آندواسکولار
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موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
کاردیولوژی و پزشکی قلب و عروق
چکیده انگلیسی
We report the case of a 75-year-old man submitted to traditional endovascular aortic repair (EVAR) for infrarenal abdominal aortic aneurysm. He presented a late type II endoleak 6Â months after operation, initially without sac enlargement. One year later, a computed tomography scan control demonstrated a sac expansion >10Â mm, also responsible for a secondary proximal type I endoleak. The patient was submitted to transarterial embolization of lumbar arteries through left internal iliac artery, followed by type I endoleak correction with a proximal cuff deployment. Intraoperative angiography revealed no signs of endoleak. Six months later, a sudden enlargement of the sac was detected, with evidence of type III endoleak, probably consequence of the lumbar arteries embolization, promptly corrected through an aortoaortic endograft. In conclusion, even if a conservative approach for type II endoleak without sac enlargement is proposed, sometimes a sudden sac enlargement could be responsible for catastrophic events in the absence of strict follow-up. The sac embolization during EVAR could reduce the incidence of type II endoleak during follow-up, with reoperation and hospital cost reduction.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Annals of Vascular Surgery - Volume 49, May 2018, Pages 311.e15-311.e18
Journal: Annals of Vascular Surgery - Volume 49, May 2018, Pages 311.e15-311.e18
نویسندگان
Mafalda Massara, Stefano Notarstefano, Giovanni De Caridi, Raffaele Serra, Pasquale Gerardi, Roberto Prunella, Giovanni Impedovo,