Successful Wallstent exclusion of iliofemoral venous aneurysms-a new treatment paradigm.

成功排除 Wallstent 股静脉动脉瘤 - 一种新的治疗范例。

• 发表时间: 2023 Dec
• 来源期刊: J Vasc Surg Cases Innov Tech
• DOI: 10.1016/j.jvscit.2023.101304
• PMID: 37808553
• 文章类型: Journal Article
• 作者列表: Jayaraj A

关键词: Endovascular stenting; Iliac vein aneurysm; Venous aneurysms; Wallstent; Woven venous stent

Abstract

Treatment of venous aneurysms involving the iliac and femoral veins has generally been an open surgical approach, with a few case reports noting use of an endovascular approach. We report three cases: (1) a patient with an iliocaval occlusion involving an occluded TrapEase filter who presented with a large left external iliac vein aneurysm; (2) a patient with a left common femoral vein aneurysm; and (3) a patient with left profunda femoris vein aneurysms with associated pulmonary embolism. All three patients were successfully managed with the use of appropriately sized bare metal woven stents (Wallstents; Boston Scientific). Their clinical presentation, technical considerations, and outcomes are reviewed.

摘要

涉及髂和股静脉的静脉动脉瘤的治疗通常是开放的手术方法，少数病例报告指出使用了血管内途径。我们报告了三例病例：（1）一例髂静脉闭塞患者，涉及闭塞的TrapEase过滤器，表现为左髂外静脉大动脉瘤；（2）左股总静脉动脉瘤患者；（3）左股深静脉动脉瘤伴相关肺栓塞的患者。使用适当大小的裸金属编织支架（Wallstents;BostonScientific）成功治疗了所有三名患者。他们的临床表现，技术考虑,并对结果进行了审查。