Abstract：
Aortoiliac arterial disease is a chronic progressive disease which is characterized by steno-occlusive changes in the aorta and iliac arteries. The gold standard for the treatment of patients with the advanced stage of the disease is aorto-bifemoral reconstruction. Patients with circumferential juxtarenal calcifications of the aorta bear a high risk of intraoperative complications, due to difficult cross-clamping in such zones.
We present a case of a 73-year-old patient who has been admitted due to left leg rest pain and second toe ulceration. Multislice computed tomography showed significant stenosis of the aortoiliac segment with a circumferentially calcified abdominal aorta. Aortobifemoral reconstruction was performed featuring endoluminal occlusion of the aorta using a balloon catheter which was placed through the left brachial artery. The procedure and the postoperative course were uneventful, and the patient was discharged on the sixth postoperative day.
The hybrid endovascular and open surgery technique presented emerged as a valid alternative for selected high-risk patients. Scrub nurses should be familiarized with endovascular techniques and tools and be aware of the measures to be protected from the harmful effects of ionizing radiation.
We present a case of a 73-year-old patient who has been admitted due to left leg rest pain and second toe ulceration. Multislice computed tomography showed significant stenosis of the aortoiliac segment with a circumferentially calcified abdominal aorta. Aortobifemoral reconstruction was performed featuring endoluminal occlusion of the aorta using a balloon catheter which was placed through the left brachial artery. The procedure and the postoperative course were uneventful, and the patient was discharged on the sixth postoperative day.
The hybrid endovascular and open surgery technique presented emerged as a valid alternative for selected high-risk patients. Scrub nurses should be familiarized with endovascular techniques and tools and be aware of the measures to be protected from the harmful effects of ionizing radiation.
摘要：
背景：主动脉动脉疾病是一种慢性进行性疾病，其特征是主动脉和髂动脉狭窄闭塞变化。治疗疾病晚期患者的金标准是主动脉双股重建术。主动脉周围钙化的患者具有术中并发症的高风险，由于难以在这样的区域交叉夹紧。
方法：我们介绍了一例因左腿休息疼痛和第二脚趾溃疡入院的73岁患者。多层计算机断层扫描显示主动脉段明显狭窄，周围钙化的腹主动脉。使用通过左肱动脉放置的球囊导管，以主动脉腔内闭塞为特征，进行了主动脉重建。手术和术后过程都很顺利，患者在术后第六天出院。
结论：所提出的混合血管内和开放手术技术是选择高危患者的有效替代方法。擦洗护士应熟悉血管内技术和工具，并了解防止电离辐射有害影响的措施。
方法：我们介绍了一例因左腿休息疼痛和第二脚趾溃疡入院的73岁患者。多层计算机断层扫描显示主动脉段明显狭窄，周围钙化的腹主动脉。使用通过左肱动脉放置的球囊导管，以主动脉腔内闭塞为特征，进行了主动脉重建。手术和术后过程都很顺利，患者在术后第六天出院。
结论：所提出的混合血管内和开放手术技术是选择高危患者的有效替代方法。擦洗护士应熟悉血管内技术和工具，并了解防止电离辐射有害影响的措施。
