A case of iliac artery injury treated by covered stent during carotid artery stenting
A case of iliac artery injury treated by covered stent during carotid artery stenting
复制标题
颈动脉支架置入术中覆膜支架治疗髂动脉损伤一例
DOI：
10.1007/s00701-013-1982-8
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发表时间：
2014
期刊：
影响因子：
2.4
通讯作者：
Hayshi K et al.
中科院分区：
文献类型：
--
作者：
Hayashi K;Matsuo Y;Hayashi Y;Shirakawa K;Kaminogo M;林健太郎，松尾義孝，林 之茂，白川 靖，上之郷眞木雄;Hayashi K et al.;Hayashi K et al.;Hayshi K et al.;林健太郎ら;林健太郎;Hayshi K et al.;Hayashi K et al.;Hayshi K et al.
在这里我们描述了一个病例，在颈动脉支架置入术(CAS)过程中，带膜支架治疗导致了髂动脉损伤。一位74岁男性因无症状性右颈动脉狭窄而接受CAS治疗。在局麻下行右侧股总动脉穿刺术，置入8fr长鞘引入器。然而，由于髂动脉曲折，鞘扭曲。我们将针头再次引入鞘中，并试图延长扭结。手术失败，在髂外动脉发现了动脉夹层。使用导丝、同轴导管和导尿管三重同轴系统延长扭结；应用远端滤器保护行CAS。在去除鞘之前，检查右髂动脉，并观察造影剂外溢。球囊导管被放置在病变处并扩张止血。然而，它失败了，随后放置了被覆盖的支架。虽然治疗后血液检查显示贫血，CT显示腹膜后血肿，但没有发生进一步的并发症。覆膜支架治疗血管损伤效果显著。
Here we describe a case of iliac artery injury during carotid artery stenting (CAS) treated by covered stent. A 74-year-old man underwent CAS for asymptomatic right carotid artery stenosis. Under local anesthesia, the right common femoral artery was punctured and an 8 Fr long sheath introducer was placed. However, the sheath kinked because the iliac artery was tortuous. We introduced the stylet to the sheath again and tried to extend the kinking. It failed, and the arterial dissection was identified at the lateral iliac artery. The kink was extended with triple coaxial system, i.e. guidewire, coaxial catheter, and a guiding catheter; CAS was performed with distal filter protection. Before removal of the sheath, the right iliac artery was examined, and extraversation of the contrast medium was observed. The balloon catheter was placed to the lesion and dilated for the hemostasis. However, it failed, and the covered stent was placed subsequently. Although blood tests revealed anemia and CT showed retroperitoneal hematoma after the treatment, further complication did not occur. Treatment with covered stent for the vessel injury was effective.