総大腿–膝窩動脈バイパス術後末梢側吻合部狭窄に対しVIABAHNを用いて血管内治療を施行した1例
症例は74歳男性。左浅大腿動脈閉塞に対して以前に人工血管（GORE PROPATEN 8 mm）による左総大腿動脈–膝窩動脈バイパス術（FP bypass術）を施行した。術後1年10カ月後に間欠性跛行症状の再発を認めた。computed tomography angiogramを施行したところ，FP bypassグラフトの末梢側吻合部に75～90%狭窄を認めた。同部位に対してVIABAHNを用いて経皮的血管内治療を施行した。術後ABI値は正常化し下肢症状も消失した。術後23カ月経過した現在でも間欠性跛行症状なく安定して経過している。...
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| Published in | 脈管学 Vol. 60; no. 7; pp. 119 - 125 |
|---|---|
| Main Authors | , , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脈管学会
10.07.2020
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| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-1126 1880-8840 |
| DOI | 10.7133/jca.20-00020 |
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| Abstract | 症例は74歳男性。左浅大腿動脈閉塞に対して以前に人工血管（GORE PROPATEN 8 mm）による左総大腿動脈–膝窩動脈バイパス術（FP bypass術）を施行した。術後1年10カ月後に間欠性跛行症状の再発を認めた。computed tomography angiogramを施行したところ，FP bypassグラフトの末梢側吻合部に75～90%狭窄を認めた。同部位に対してVIABAHNを用いて経皮的血管内治療を施行した。術後ABI値は正常化し下肢症状も消失した。術後23カ月経過した現在でも間欠性跛行症状なく安定して経過している。 |
|---|---|
| AbstractList | 症例は74歳男性。左浅大腿動脈閉塞に対して以前に人工血管（GORE PROPATEN 8 mm）による左総大腿動脈–膝窩動脈バイパス術（FP bypass術）を施行した。術後1年10カ月後に間欠性跛行症状の再発を認めた。computed tomography angiogramを施行したところ，FP bypassグラフトの末梢側吻合部に75～90%狭窄を認めた。同部位に対してVIABAHNを用いて経皮的血管内治療を施行した。術後ABI値は正常化し下肢症状も消失した。術後23カ月経過した現在でも間欠性跛行症状なく安定して経過している。 |
| Author | 諏訪, 達志 苅込, 和裕 早麻, 政斗 鈴木, 博之 小花, 彩人 和田, 秀一 中山, 真悠子 |
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| References | 21) 久良木亮一，今井伸一，小野原俊博：高位脛骨骨切り術後の仮性動脈瘤に対しVIABAHNを用いて血管内治療した1例．日血外会誌2019; 28: 111–114 1) Airoldi F, Baldino G, Mortola P, et al: Nitinol stents with polymer-free paclitaxel coating for stenosis of failing infrainguinal bypass grafts. J Cardiovasc Surg 2013; 54: 441–445 16) Midy D, Berard X, Ferdani M, et al: A retrospective multicenter study of endovascular tertment of popliteal artery aneurysm. J Vasc Surg 2010; 51: 850–856 8) Muntner P, Wildman RP, Reynolds K, et al: Relationship between HbA1c level and peripheral arterial disease. Diabetes Care 2005; 28: 1981–1987 3) Cotroneo AR, Iezzi R, Quinto F, et al: Assisted patency with primary stent placement in distal anastomotic stenoses of lower limb bypass grafts. J Vasc Interv Radiol 2007; 18: 25–30 4) 駒井宏好，重里政信，柴田正幸，他：閉塞性動脈硬化症バイパス術後のグラフト閉塞に関する新しい危険因子の解析．脈管学2007; 47: 439–444 5) 高垣有作，駒井宏好，重里政信，他：遠隔期に人工血管非吻合部に狭窄を来した閉塞性動脈硬化症の1例．日血外会誌2009; 18: 635–639 2) Ohki T, Kichikawa KK, Yokoi H, et al: Outcomes of the Japanese multicenter Viabahn trial of endovascular stent grafting for superficial femoral artery lesions. J Vasc Surg 2017; 66: 130–142 20) Boufi M, Belmir H, Hartung O, et al: Emergency stent graft implantation for ruptured visceral artery pseudoaneurysm. J Vasc Surg 2011; 53: 1625–1631 24) Fujimura N, Obara H, Iwasa K, et al: Preliminary experience of Viabahn stent graft inside the occluded prosthetic bypass graft for the treatment of above knee femoropopliteal bypass occlusion. Cardiovasc Intervent Radiol 2020; 43: 223–230 7) Inoue Y, Sugano N, Jibiki M, et al: Cuffed anastomosis for above-knee femoropopliteal bypass with a stretch expanded polytetrafluoroethylene graft. Surg Today 2008; 38: 679–684 10) 渋谷 卓，新谷 隆，江戸川誠司，他：大腿膝窩動脈領域においてステント閉塞後に外科的治療を要した症例の検討．脈管学2012; 52: 19–23 14) Calligaro KD, Doerr K, McAffee-Bennett S, et al: Should duplex ultrasonography be performed for surveilance of femoropopliteal and femorotibial arterial prosthetic bypasses? Ann Vasc Surg 2001; 15: 520–524 22) 田中克典：VIABAHNを留置した膝窩動脈瘤の1例．日血外会誌2019; 28: 213–217 6) Shibutani S, Obara H, Matsubara K, et al; Japanese Bypass Registry Group, Tokyo, Japan: Midterm results of a Japanese prospective multicenter registry of heparin-bonded expanded polytetrafluoroethylene grafts for above-the-knee femoropopliteal bypass. Circ J 2020; 84: 501–508 12) Dunlop P, Sayers RD, Naylor AR, et al: The effect of a surveillance programme on the patency of synthetic infrainguinal bypass grafts. Eur J Vasc Endovasc Surg 1996; 11: 441–445 19) Gerasimidis T, Sfyroeras G, Papazoglou K, et al: Endovascular treatment of popliteal artery aneurysms. Eur J Vasc Endovasc Surg 2003; 26: 506–511 17) Azéma L, Davaine JM, Guyomarch B, et al: Endovascular repair of common femoral artery and concomitant arterial lesions. Eur J Vasc Endovasc Surg 2011; 41: 787–793 13) Aune S, Pedersen OM, Trippestad A: Surveillance of above-knee prosthetic femoropopliteal bypass. Eur J Vasc Endovasc Surg 1998; 16: 509–512 11) Conte MS, Bradbury AW, Kolh P, et al: Global vascular guidelines on the management of chronic limb-threatening ischemia. Eur J Vasc Endovasc Surg 2019; 58 1S: S1–S109, 109.e33 15) Conte MS, Pomposelli FB, Clair DG, et al: Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: management of asymptomatic disease and claudication. J Vasc Surg 2015; 61 Suppl: 2S–41S, 41S.e1 9) Pedersen G, Laxdal E, Aune S: The outcome of occluded above-knee femoropopliteal prosthese implanted for critical ischaemia. Eur J Vasc Endovasc Surg 2006; 32: 680–685 18) 磯田竜太郎，森田一郎，平林葉子，他：不適切な血管内治療で生じた重症下肢虚血をバイパス術で救肢した1例．日血外会誌2017; 26: 175–178 23) Garg K, Rockman CB, Kim BJ, et al: Outcome of endovascular repair of popliteal artery aneurysm using the Viabahn endoprosthesis. J Vasc Surg 2012; 55: 1647–1653 25) Reijnen MMPJ, van Walraven LA, Fritschy WM, et al: 1-year results of a multicenter randomized controlled trial comparing heparin-bonded endoluminal to femoropopliteal bypass. JACC Cardiovasc Interv 2017; 10: 2320–2331 |
| References_xml | – reference: 21) 久良木亮一，今井伸一，小野原俊博：高位脛骨骨切り術後の仮性動脈瘤に対しVIABAHNを用いて血管内治療した1例．日血外会誌2019; 28: 111–114 – reference: 22) 田中克典：VIABAHNを留置した膝窩動脈瘤の1例．日血外会誌2019; 28: 213–217 – reference: 17) Azéma L, Davaine JM, Guyomarch B, et al: Endovascular repair of common femoral artery and concomitant arterial lesions. Eur J Vasc Endovasc Surg 2011; 41: 787–793 – reference: 6) Shibutani S, Obara H, Matsubara K, et al; Japanese Bypass Registry Group, Tokyo, Japan: Midterm results of a Japanese prospective multicenter registry of heparin-bonded expanded polytetrafluoroethylene grafts for above-the-knee femoropopliteal bypass. Circ J 2020; 84: 501–508 – reference: 14) Calligaro KD, Doerr K, McAffee-Bennett S, et al: Should duplex ultrasonography be performed for surveilance of femoropopliteal and femorotibial arterial prosthetic bypasses? Ann Vasc Surg 2001; 15: 520–524 – reference: 3) Cotroneo AR, Iezzi R, Quinto F, et al: Assisted patency with primary stent placement in distal anastomotic stenoses of lower limb bypass grafts. J Vasc Interv Radiol 2007; 18: 25–30 – reference: 19) Gerasimidis T, Sfyroeras G, Papazoglou K, et al: Endovascular treatment of popliteal artery aneurysms. Eur J Vasc Endovasc Surg 2003; 26: 506–511 – reference: 11) Conte MS, Bradbury AW, Kolh P, et al: Global vascular guidelines on the management of chronic limb-threatening ischemia. Eur J Vasc Endovasc Surg 2019; 58 1S: S1–S109, 109.e33 – reference: 2) Ohki T, Kichikawa KK, Yokoi H, et al: Outcomes of the Japanese multicenter Viabahn trial of endovascular stent grafting for superficial femoral artery lesions. J Vasc Surg 2017; 66: 130–142 – reference: 5) 高垣有作，駒井宏好，重里政信，他：遠隔期に人工血管非吻合部に狭窄を来した閉塞性動脈硬化症の1例．日血外会誌2009; 18: 635–639 – reference: 7) Inoue Y, Sugano N, Jibiki M, et al: Cuffed anastomosis for above-knee femoropopliteal bypass with a stretch expanded polytetrafluoroethylene graft. Surg Today 2008; 38: 679–684 – reference: 10) 渋谷 卓，新谷 隆，江戸川誠司，他：大腿膝窩動脈領域においてステント閉塞後に外科的治療を要した症例の検討．脈管学2012; 52: 19–23 – reference: 15) Conte MS, Pomposelli FB, Clair DG, et al: Society for Vascular Surgery practice guidelines for atherosclerotic occlusive disease of the lower extremities: management of asymptomatic disease and claudication. J Vasc Surg 2015; 61 Suppl: 2S–41S, 41S.e1 – reference: 20) Boufi M, Belmir H, Hartung O, et al: Emergency stent graft implantation for ruptured visceral artery pseudoaneurysm. J Vasc Surg 2011; 53: 1625–1631 – reference: 24) Fujimura N, Obara H, Iwasa K, et al: Preliminary experience of Viabahn stent graft inside the occluded prosthetic bypass graft for the treatment of above knee femoropopliteal bypass occlusion. Cardiovasc Intervent Radiol 2020; 43: 223–230 – reference: 13) Aune S, Pedersen OM, Trippestad A: Surveillance of above-knee prosthetic femoropopliteal bypass. Eur J Vasc Endovasc Surg 1998; 16: 509–512 – reference: 12) Dunlop P, Sayers RD, Naylor AR, et al: The effect of a surveillance programme on the patency of synthetic infrainguinal bypass grafts. Eur J Vasc Endovasc Surg 1996; 11: 441–445 – reference: 8) Muntner P, Wildman RP, Reynolds K, et al: Relationship between HbA1c level and peripheral arterial disease. Diabetes Care 2005; 28: 1981–1987 – reference: 16) Midy D, Berard X, Ferdani M, et al: A retrospective multicenter study of endovascular tertment of popliteal artery aneurysm. J Vasc Surg 2010; 51: 850–856 – reference: 18) 磯田竜太郎，森田一郎，平林葉子，他：不適切な血管内治療で生じた重症下肢虚血をバイパス術で救肢した1例．日血外会誌2017; 26: 175–178 – reference: 4) 駒井宏好，重里政信，柴田正幸，他：閉塞性動脈硬化症バイパス術後のグラフト閉塞に関する新しい危険因子の解析．脈管学2007; 47: 439–444 – reference: 25) Reijnen MMPJ, van Walraven LA, Fritschy WM, et al: 1-year results of a multicenter randomized controlled trial comparing heparin-bonded endoluminal to femoropopliteal bypass. JACC Cardiovasc Interv 2017; 10: 2320–2331 – reference: 1) Airoldi F, Baldino G, Mortola P, et al: Nitinol stents with polymer-free paclitaxel coating for stenosis of failing infrainguinal bypass grafts. J Cardiovasc Surg 2013; 54: 441–445 – reference: 9) Pedersen G, Laxdal E, Aune S: The outcome of occluded above-knee femoropopliteal prosthese implanted for critical ischaemia. Eur J Vasc Endovasc Surg 2006; 32: 680–685 – reference: 23) Garg K, Rockman CB, Kim BJ, et al: Outcome of endovascular repair of popliteal artery aneurysm using the Viabahn endoprosthesis. J Vasc Surg 2012; 55: 1647–1653 |
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| Snippet | 症例は74歳男性。左浅大腿動脈閉塞に対して以前に人工血管（GORE PROPATEN 8 mm）による左総大腿動脈–膝窩動脈バイパス術（FP bypass術）を施行した。術後1年10カ月後に間欠... |
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| Title | 総大腿–膝窩動脈バイパス術後末梢側吻合部狭窄に対しVIABAHNを用いて血管内治療を施行した1例 |
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