Viabahn覆膜支架植入术急诊治疗医源性髂股动脉破裂出血  

Implantation of Viabahn covered stent for emergency treatment of iatrogenic iliofemoral artery rupture hemorrhage

作　　者：黄天安 金泳海[1] 倪才方[1] 丁文彬[2] 樊宝瑞[1] 印于 俞靖凡 HUANG Tianan;JIN Yonghai;NI Caifang;DING Wenbin;FAN Baorui;YIN Yu;YU Jingfan(Department of Vascular and Interventional Radiology,the First Affiliated Hospital of Soochow University,Suzhou 215006,China;Department of Interventional Radiology,Nantong First People's Hospital,Nantong 226001,China)

机构地区：[1]苏州大学附属第一医院介入血管科,江苏苏州215006 [2]南通市第一人民医院介入科,江苏南通226001

出　　处：《中国介入影像与治疗学》2020年第2期89-92,共4页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的观察Viabahn覆膜支架急诊治疗医源性髂股动脉损伤的安全性和有效性。方法回顾性分析7例接受Viabahn覆膜支架急诊治疗的医源性髂股动脉损伤患者,统计技术成功率、手术时间、治疗效果及并发症。结果7例各均成功植入1枚Viabahn支架,技术成功率100%(7/7)。手术时间30~55 min,平均(34.36±9.13)min。术后出血均停止。随访1个月,病情均稳定。术中及术后1个月内均未出现腔内治疗并发症(穿刺点血肿、动脉及支架内血栓形成、内瘘或支架移位等)。结论采用Viabahn覆膜支架腔内修复治疗医源性髂股动脉破裂出血安全有效。Objective To evaluate the efficacy and safety of implantation of Viabahn covered stent for emergency treatment of iatrogenic iliofemoral artery injury.Methods Clinical data of 7 patients with iatrogenic iliofemoral artery injury who underwent emergent Viabahn covered stent implantation were retrospectively analyzed.The success rate of intervention,the time of operation,treatment effect and complications were counted.Results Viabahn stents were successfully implanted in all the 7 patients,and the success rate was 100%(7/7).The time of operation was 30-55(34.36±9.13)min.No bleeding after operation occurred.During 1 month following-up,all patients were in stable conditions.No complication such as puncture point hematoma,artery or stent thrombosis,internal leakage nor stents shifting occurred.Conclusion Endovascular repairment of iatrogenic iliofemoral artery rupture hemorrhage with Viabahn covered stent is safe and effective.

关 键 词：出血 股动脉 髂动脉 支架 

分 类 号：R654.4[医药卫生—外科学] R815[医药卫生—临床医学]