コイル塞栓後の内腸骨動脈再開通によるエンドリークを生じた一EVAR 症例
要旨：症例は77 歳女性。2009 年に右総腸骨動脈瘤を併存する最大短径50 mm の腹部大動脈瘤に対して，右内腸骨動脈のコイル塞栓術およびステントグラフト内挿術を施行した。術後2 年目までは瘤径不変であったが，3 年目53 mm，4 年目57 mm と増大傾向を認めた。血管造影で，コイル塞栓後の右内腸骨動脈再開通によるtype II エンドリークを確認したため，後腹膜経路で右内腸骨動脈を露出し，起始部を結紮した。...
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| Published in | 脈管学 Vol. 55; no. 2; pp. 27 - 31 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脈管学会
2015
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-1126 1880-8840 |
| DOI | 10.7133/jca.14-00032 |
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| Abstract | 要旨：症例は77 歳女性。2009 年に右総腸骨動脈瘤を併存する最大短径50 mm の腹部大動脈瘤に対して，右内腸骨動脈のコイル塞栓術およびステントグラフト内挿術を施行した。術後2 年目までは瘤径不変であったが，3 年目53 mm，4 年目57 mm と増大傾向を認めた。血管造影で，コイル塞栓後の右内腸骨動脈再開通によるtype II エンドリークを確認したため，後腹膜経路で右内腸骨動脈を露出し，起始部を結紮した。 |
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| AbstractList | 要旨：症例は77 歳女性。2009 年に右総腸骨動脈瘤を併存する最大短径50 mm の腹部大動脈瘤に対して，右内腸骨動脈のコイル塞栓術およびステントグラフト内挿術を施行した。術後2 年目までは瘤径不変であったが，3 年目53 mm，4 年目57 mm と増大傾向を認めた。血管造影で，コイル塞栓後の右内腸骨動脈再開通によるtype II エンドリークを確認したため，後腹膜経路で右内腸骨動脈を露出し，起始部を結紮した。 |
| Author | 古山, 正 奈田, 慎一 小野原, 俊博 |
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| References | 4) Hu H, Takano T, Guntani A, et al: Treatment of solitary iliac aneurysms: clinical review of 28 cases. Surg Today 2008; 38: 232–236 6) Schoder M, Zaunbauer L, Hölzenbein T, et al: Internal iliac artery embolization before endovascular repair of abdominal aortic aneurysms: frequency, efficacy, and clinical results. AJR Am J Roentgenol 2001; 177: 599–605 15) Choi DS, Kim MC, Lee SK, et al: Clinical and angiographic long-term follow-up of completely coiled intracranial aneurysms using endovascular technique. J Neurosurg 2010; 112: 575–581 14) Salam TA, Lumsden AB, Martin LG, et al: Nonoperative management of visceral aneurysms and pseudoaneurysms. Am J Surg 1992; 164: 215–219 3) Boules TN, Selzer F, Stanziale SF, et al: Endovascular management of isolated iliac artery aneurysms. J Vasc Surg 2006; 44: 29–37 11) Libicher M, Pavlidis D, Bangard C, et al: Occlusion of the internal iliac artery prior EVAR: comparison of coils and plugs. Vasc Endovascular Surg 2012; 46: 34–39 5) Yano OJ, Morrissey N, Eisen L, et al: Intentional internal iliac artery occlusion to facilitate endovascular repair of aortoiliac aneurysms. J Vasc Surg 2001; 34: 204–211 9) Ha CD, Calcagno D: Amplatzer Vascular Plug to occlude the internal iliac arteries in patients undergoing aortoiliac aneurysm repair. J Vasc Surg 2005; 42: 1058–1062 12) Pellerin O, Caruba T, Kandounakis Y, et al: Embolization of the internal iliac artery: cost-effectiveness of two different techniques. Cardiovasc Intervent Radiol 2008; 31: 1088–1093 2) Richards T, Dharmadasa A, Davies R, et al: Natural history of the common iliac artery in the presence of an abdominal aortic aneurysm. J Vasc Surg 2009; 49: 881–885 7) Chun JY, Mailli L, Abbasi MA et al. Embolization of the internal iliac artery before EVAR: is it effective? Is it safe? Which technique should be used? Cardiovasc Intervent Radiol 2014; 37: 329–336 8) Bratby MJ, Munneke GM, Belli AM, et al: How safe is bilateral internal iliac artery embolization prior to EVAR? Cardiovasc Intervent Radiol 2008; 31: 246–253 16) Cloft HJ; HEAL Investigators: HydroCoil for Endovascular Aneurysm Occlusion (HEAL) study: 3–6 month angiographic follow-up results. AJNR Am J Neuroradiol 2007; 28: 152–154 1) Armon MP, Wenham PW, Whitaker SC, et al: Common iliac artery aneurysms in patients with abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 1998; 15: 255–257 10) Ryer EJ, Garvin RP, Webb TP, et al: Comparison of outcomes with coils versus vascular plug embolization of the internal iliac artery for endovascular aortoiliac aneurysm repair. J Vasc Surg 2012; 56: 1239–1245 13) Yamamoto S, Hirota S, Maeda H, et al: Transcatheter coil embolization of splenic artery aneurysm. Cardiovasc Intervent Radiol 2008; 31: 527–534 |
| References_xml | – reference: 3) Boules TN, Selzer F, Stanziale SF, et al: Endovascular management of isolated iliac artery aneurysms. J Vasc Surg 2006; 44: 29–37 – reference: 8) Bratby MJ, Munneke GM, Belli AM, et al: How safe is bilateral internal iliac artery embolization prior to EVAR? Cardiovasc Intervent Radiol 2008; 31: 246–253 – reference: 6) Schoder M, Zaunbauer L, Hölzenbein T, et al: Internal iliac artery embolization before endovascular repair of abdominal aortic aneurysms: frequency, efficacy, and clinical results. AJR Am J Roentgenol 2001; 177: 599–605 – reference: 2) Richards T, Dharmadasa A, Davies R, et al: Natural history of the common iliac artery in the presence of an abdominal aortic aneurysm. J Vasc Surg 2009; 49: 881–885 – reference: 7) Chun JY, Mailli L, Abbasi MA et al. Embolization of the internal iliac artery before EVAR: is it effective? Is it safe? Which technique should be used? Cardiovasc Intervent Radiol 2014; 37: 329–336 – reference: 1) Armon MP, Wenham PW, Whitaker SC, et al: Common iliac artery aneurysms in patients with abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 1998; 15: 255–257 – reference: 12) Pellerin O, Caruba T, Kandounakis Y, et al: Embolization of the internal iliac artery: cost-effectiveness of two different techniques. Cardiovasc Intervent Radiol 2008; 31: 1088–1093 – reference: 9) Ha CD, Calcagno D: Amplatzer Vascular Plug to occlude the internal iliac arteries in patients undergoing aortoiliac aneurysm repair. J Vasc Surg 2005; 42: 1058–1062 – reference: 14) Salam TA, Lumsden AB, Martin LG, et al: Nonoperative management of visceral aneurysms and pseudoaneurysms. Am J Surg 1992; 164: 215–219 – reference: 5) Yano OJ, Morrissey N, Eisen L, et al: Intentional internal iliac artery occlusion to facilitate endovascular repair of aortoiliac aneurysms. J Vasc Surg 2001; 34: 204–211 – reference: 10) Ryer EJ, Garvin RP, Webb TP, et al: Comparison of outcomes with coils versus vascular plug embolization of the internal iliac artery for endovascular aortoiliac aneurysm repair. J Vasc Surg 2012; 56: 1239–1245 – reference: 13) Yamamoto S, Hirota S, Maeda H, et al: Transcatheter coil embolization of splenic artery aneurysm. Cardiovasc Intervent Radiol 2008; 31: 527–534 – reference: 4) Hu H, Takano T, Guntani A, et al: Treatment of solitary iliac aneurysms: clinical review of 28 cases. Surg Today 2008; 38: 232–236 – reference: 11) Libicher M, Pavlidis D, Bangard C, et al: Occlusion of the internal iliac artery prior EVAR: comparison of coils and plugs. Vasc Endovascular Surg 2012; 46: 34–39 – reference: 15) Choi DS, Kim MC, Lee SK, et al: Clinical and angiographic long-term follow-up of completely coiled intracranial aneurysms using endovascular technique. J Neurosurg 2010; 112: 575–581 – reference: 16) Cloft HJ; HEAL Investigators: HydroCoil for Endovascular Aneurysm Occlusion (HEAL) study: 3–6 month angiographic follow-up results. AJNR Am J Neuroradiol 2007; 28: 152–154 |
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| Snippet | 要旨：症例は77 歳女性。2009 年に右総腸骨動脈瘤を併存する最大短径50 mm の腹部大動脈瘤に対して，右内腸骨動脈のコイル塞栓術およびステントグラフト内挿術を施行した。... |
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| SubjectTerms | abdominal aortic aneurysm eGFR EVAR open surgery renal function |
| Title | コイル塞栓後の内腸骨動脈再開通によるエンドリークを生じた一EVAR 症例 |
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