覆膜支架治疗感染性股动脉假性动脉瘤三例
Coated Stent to Cure Infective Femoral Artery Pseudoaneurysms in 3 Cases
DOI: 10.12677/ACRS.2017.64004, PDF, HTML, XML, 下载: 1,444  浏览: 3,806 
作者: 蔡舟, 王宪伟, 王伟, 欧阳洋, 刘光强, 黄建华*：中南大学湘雅医院血管外科，湖南 长沙
关键词: 感染性股动脉假性动脉瘤；覆膜支架；手术疗效；Infectious Femoral Artery Pseudoaneurysms； Coated Stent； Surgical Results
摘要: 目的：探讨覆膜支架治疗感染性股动脉假性动脉瘤疗效及预后。方法：回顾性分析3例感染性股动脉假性动脉瘤的介入诊治资料及文献报道。结果：3例股动脉假性动脉瘤，2例为吸毒所致，1例为当地股动脉急性动脉栓塞行取栓术后感染。3例均采取手术治疗，1例多次手术治疗，全部治愈、无复发。结论：感染性股动脉假性动脉瘤并非介入治疗禁忌，加强抗感染治疗，充分引流，手术效果良好。
Abstract: Objective: To investigate the effect and prognosis of Coated stent treatment of infective femoral artery pseudoaneurysms. Methods: A retrospective analysis of 3 cases of infective femoral artery pseudoaneurysms intravascular diagnosis and treatment information and literature reports. Re-sults: 3 cases of femoral artery pseudoaneurysms, 2 cases of drug use, 1 case of local femoral postoperative infection. 3 cases were treated with surgery, and 1 case of multiple surgical treat-ment, all cured and no recurrence. Conclusion: Infective femoral artery pseudoaneurysms are not the surgical contraindication of intravascular treatment. With appropriate anti-infection treatment and adequate drainage, operation effect is good.
文章引用：蔡舟, 王宪伟, 王伟, 欧阳洋, 刘光强, 黄建华. 覆膜支架治疗感染性股动脉假性动脉瘤三例[J]. 亚洲外科手术病例研究, 2017, 6(4): 19-22. https://doi.org/10.12677/ACRS.2017.64004

参考文献

[1] Rammell, J., Kansal, N. and Bhattacharya, V. (2017) Management Options in the Treatment of Femoral Pseudoaneu-rysms secondary to Intravenous Drug Abuse: A Case Series. International Journal of Surgery Case Reports, 36, 30-33.
https://doi.org/10.1016/j.ijscr.2017.04.024
[2] Maltezos, C., Kopadis, G., Tzortzis, E.A., et al. (2003) Manage-ment of Femoral Artery Pseudoaneurysm Secondary to Drug Abuse. European Journal of Vascular and Endovascular Surgery, 7, 26-29.
[3] Klonaris, C., Katsargyris, A., Vasileiou, I., et al. (2009) Hybrid Repair of Ruptured Infected Anastomotic Femoral Pseudoaneurysms: Emergent Stent-Graft Implantation and Secondary Surgical Debridement. Journal of Vascular Surgery, 49, 938-945.
https://doi.org/10.1016/j.jvs.2008.10.063
[4] 贾鑫, 郭伟, 刘小平, 等. 感染性腹主动脉瘤的外壳治疗[J]. 中华临床医师杂志(电子版), 2011, 5(9): 2624-2627.
[5] 吴壮宏, 王深明, 李晓曦, 等. 注射海洛因所致感染性假性股动脉瘤的外科治疗[J]. 中国普通外科杂志, 2001 10(6): 543-545.
[6] 武国, 陈开, 郑江华, 等. 人工血管旁路移植治疗感染性股动脉假性动脉瘤[J]. 中国普通外科杂志, 2011(12): 1355-1358.
[7] Salimi, J., Shojaeefar, A. and Khashayar, P. (2007) Management of Infected Femoral Pseudoaneu-rysms in Intravenous Drug Abusers: A Review of 57 Cases. Archives of Medical Research, 39, 120-124.
https://doi.org/10.1016/j.arcmed.2007.07.004
[8] 周伟, 辛军, 周建平. 治疗注射吸毒所致股动脉假性动脉瘤手术方法的选择[J]. 临床医学, 2015(12): 6-8.
[9] Flis, V., Matela, J., Breznik, S., et al. (2013) Treatment of Primary Infected Juxtarenal Aortic Aneurysm with the Multilayer Stent. Vascular & Endovascular Surgery, 47, 561-565.
https://doi.org/10.1177/1538574413497108
[10] Raupach, J., Lojik, M., Krajina, A., et al. (2002) Infectious Aneurysm of the Abdominal Aorta Caused by Salmonella: Diagnosis, Endovascular Therapy. Rozhledy, 81, 150-153.
[11] Klonaris, C., Katsargyris, A., Matthaiou, A., et al. (2007) Emergency Stenting of a Ruptured Infected Anastomotic Femoral Pseudoaneurysm. Cardiovascular & Interventional Radiology, 30, 1238-1241.
https://doi.org/10.1007/s00270-007-9080-z
[12] Tiesenhausen, K., Hessinger, M., Tomka, M. et al. (2008) En-dovascular Treatment of Mycotic Aortic Pseudoaneurysms with Stent-Grafts. Cardiovascular and Interventional Radi-ology, 31, 509-513.
https://doi.org/10.1007/s00270-007-9287-z

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