PDF(Pubmed)
Abstract：
We report a case of endovascular aortic repair (EVAR) for the abdominal aortic aneurysm complicated by a saccular aneurysm due to a penetrating atherosclerotic ulcer in the severely angulated proximal landing zone. To secure the zone, coil embolization of the saccular aneurysm was performed before stent grafting to treat the abdominal aortic aneurysm. To precisely follow the severely angled proximal neck, we used the Excluder stent-graft system inserted by the body floss technique method instead of the stiff wire method to avoid accordion folding the proximal landing zone. These techniques may expand the indications of EVAR.
摘要：
我们报告了一例腹主动脉瘤的血管内主动脉修复（EVAR）病例，该病例由于严重成角度的近端着陆区的穿透性动脉粥样硬化性溃疡而并发囊状动脉瘤。为了保护这个区域，在支架移植治疗腹主动脉瘤前进行囊状动脉瘤的线圈栓塞。为了精确跟随严重倾斜的近端颈部，我们使用Excluder支架移植物系统，通过身体牙线技术方法插入，而不是硬线方法，以避免手风琴折叠近端着陆区。这些技术可以扩展EVAR的指示。
