Abstract：
We aimed to analyze the feasibility of endovascular treatment for brucellosis-related aorta-iliac artery pseudoaneurysm. We did a statistical analysis that among the 11 cases, the thoracic aorta was involved in 3 cases, the abdominal aorta was involved in 6 cases, and the iliac artery was involved in 2 cases. Five patients had a history of contact with cattle and sheep, 3 had a history of drinking raw milk, 10 patients had a fever before the operation, and 11 patients had positive serum agglutination test. Blood culture was positive in 2 patients. All patients were given anti-brucellosis treatment immediately after diagnosis. One died of aortic rupture 5 days after emergency endovascular gastrointestinal bleeding. Endovascular-covered stent implantation and active anti-brucellosis therapy were used to treat 10 patients. The follow-up period was 8 years without aortic complications or death for all patients. We think early diagnosis and a combination of anti-brucellosis drugs and endovascular therapy may be the first choice for treating the pseudoaneurysm caused by Brucella.
摘要：
我们旨在分析血管内治疗布鲁氏菌病相关的主动脉-髂动脉假性动脉瘤的可行性。我们做了一个统计分析，在11例病例中，3例胸主动脉受累,6例腹主动脉受累,髂动脉受累2例。5例患者有牛羊接触史,3有喝生牛奶的历史，10名患者在手术前发烧，11例患者血清凝集试验阳性。2例血培养阳性。所有患者在确诊后立即给予抗布氏杆菌病治疗。1人死于急诊血管内消化道出血5天后主动脉破裂。对10例患者采用血管内覆膜支架植入术和积极抗布氏杆菌病治疗。随访时间为8年，所有患者均无主动脉并发症或死亡。我们认为早期诊断并结合抗布氏杆菌病药物和血管内治疗可能是治疗布鲁氏菌引起的假性动脉瘤的首选方法。
