EVAR術後に難治性のtype IIエンドリークのために開腹手術を要した腹膜透析患者の1例
62歳の男性，腹膜透析依存状態となった後に腹部大動脈瘤と診断されendovascular aneurysm repair（EVAR）を施行したものの，難治性type IIエンドリークのため血管内治療を3回行った。しかし持続的な動脈瘤径の拡大を認めEVARの3年後に開腹手術の適応となった。開腹時には癒着は認めず，腰動脈および正中仙骨動脈の結紮術を施行した。腹膜透析患者であっても導入後の期間が浅く，感染の既往がなければ，安全に開腹手術を行うことは可能であった。...
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| Published in | 脈管学 Vol. 60; no. 6; pp. 83 - 87 |
|---|---|
| Main Author | |
| Format | Journal Article |
| Language | Japanese |
| Published |
日本脈管学会
10.06.2020
|
| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-1126 1880-8840 |
| DOI | 10.7133/jca.19-00026 |
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| Abstract | 62歳の男性，腹膜透析依存状態となった後に腹部大動脈瘤と診断されendovascular aneurysm repair（EVAR）を施行したものの，難治性type IIエンドリークのため血管内治療を3回行った。しかし持続的な動脈瘤径の拡大を認めEVARの3年後に開腹手術の適応となった。開腹時には癒着は認めず，腰動脈および正中仙骨動脈の結紮術を施行した。腹膜透析患者であっても導入後の期間が浅く，感染の既往がなければ，安全に開腹手術を行うことは可能であった。 |
|---|---|
| AbstractList | 62歳の男性，腹膜透析依存状態となった後に腹部大動脈瘤と診断されendovascular aneurysm repair（EVAR）を施行したものの，難治性type IIエンドリークのため血管内治療を3回行った。しかし持続的な動脈瘤径の拡大を認めEVARの3年後に開腹手術の適応となった。開腹時には癒着は認めず，腰動脈および正中仙骨動脈の結紮術を施行した。腹膜透析患者であっても導入後の期間が浅く，感染の既往がなければ，安全に開腹手術を行うことは可能であった。 |
| Author | 樋口, 卓也 |
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| Copyright | 2020 一般社団法人日本脈管学会 |
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| References | 2) Brown A, Saggu GK, Bown MJ, et al: Type II endoleaks: challenges and solutions. Vasc Health Risk Manag 2016; 12: 53–63 24) Norwood MGA, Polimenovi NM, Sutton AJ, et al: Abdominal aortic aneurysm repair in patients with chronic renal disease. Eur J Vasc Endovasc Surg 2004; 27: 287–291 13) Touma J, Coscas R, Javerliat I, et al: A technical tip for total laparoscopic type II endoleak repair. J Vasc Surg 2015; 61: 817–820 21) 小坂眞一，杉本徳一郎，木村 剛：透析患者の循環器疾患の対する最新治療．南江堂，東京，2006 1) Powell JT, Sweeting MJ, Ulug P, et al; The EVAR-1, DREAM, OVER and ACE Trialists: Meta-analysis of individual-patient data from EVAR-1, DREAM, OVER and ACE trials comparing outcomes of endovascular or open repair for abdominal aortic aneurysm over 5 years. Br J Surg 2017; 104: 166–178 4) Kaczybski J, Jaher B, Woolgar J: Rupture of the infrarenal abdominal aortic aneurysm (AAA) following an endovascular aneurysm repair (EVAR) due to an isolated type II endoleak. BMJ Case Rep 2014; doi: 10.1136/bcr-2013-202964 11) Güntner O, Zeman F, Wohlgemuth WA, et al: Inferior mesenteric arterial type II endoleaks after endovascular repair of abdominal aortic aneurysm: are they predictable? Radiology 2014; 270: 910–919 22) 飯田泰功，小櫃由樹生，佐藤正宏，他：慢性腹膜透析患者の腹部大動脈瘤に対する分岐型人工血管置換術．日血外会誌2008; 17: 601–604 5) El Batti S, Cochennec F, Roudot-Thoraval F, et al: Type II endoleaks after endovascular repair of abdominal aortic aneurysm are not always a benign condition. J Vasc Surg 2013; 57: 1291–1297 12) Piazza M, Frigatti P, Scrivere P, et al: Role of aneurysm sac embolization during endovascular aneurysm repair in the prevention of type II endoleak-related complications. J Vasc Surg 2013; 57: 934–941 10) Ward TJ, Cohen S, Patel RS, et al: Anatomic risk factors for type-2 endoleak following EVAR: a retrospective review of preoperative CT angiography in 326 patients. Cardiovasc Intervent Radiol 2014; 37: 324–328 17) 原 茂子：透析導入と主要合併症．日腎会誌2003; 45: 65–75 15) Rayt HS, Sandford RM, Salem M, et al: Conservative management of type 2 endoleaks is not associated with increased risk of aneurysm rupture. Eur J Vasc Endovasc Surg 2009; 38: 718–723 9) Marchiori A, von Ristow A, Guimaraes M, et al: Predictive factors for the development of type II endolaks. J Endovasc Ther 2011; 18: 299–305 23) Vogt J, Chlebowski H, Kniemeyer HW, et al: Successful reinstitution of CAPD after retroperitoneal repair of an aortic aneurysm: a case report. Perit Dial Int 1995; 15: 71–72 3) Cieri E, De Rango P, Isernia G, et al: Type II endoleak is and enigmatic and unpredictable marker of worse outcome after endovascular aneurysm repair. J Vasc Surg 2014; 59: 930–937 18) 田中涼太，亀谷直樹，加藤幸裕，他：腹腔鏡下修復術を要した腹膜透析患者における鼠径ヘルニアの1例．日臨外会誌2015; 76: 1211–1214 20) Pecoits-Filho R, Stenvinkel P, Wang AYM, et al: Chronic inflammation in peritoneal dialysis: the search for the holy grail? Perit Dial Int 2004; 24: 327–339 16) Chikazawa G, Hiraoka A, Hirai Y, et al: Open reintervention for aneurysmal sac enlargement after EVAR. Ann Vasc Dis 2014; 7: 350–353 8) Muller-Wille R, Schotz S, Zeman F, et al: CT features of early type II endoleaks after endovascular repair of abdominal aortic aneurysms help predict aneurysm sac enlargement. Radiology 2015; 274: 906–916 6) Moll FL, Powell JT, Fraedrich G, et al: Management of abdominal aortic aneurysms clinical practice guidelines of the European society for vascular surgery. Eur J Vasc Endovasc Surg 2011; 41 Suppl. 1: S1–S58 19) Saito A: Peritoneal dialysis in Japan: the issue of encapsulating peritoneal sclerosis and future challenges. Perit Dial Int 2005; 25 Suppl. 4: 77–82 14) Hinchliffe RJ, Singh-Ranger R, Whitaker SC, et al: Type II endoleak: transperitoneal sacotomy and ligation of side branch endoleaks responsible for aneurysm sac expansion. J Endovasc Ther 2002; 9: 539–542 7) Morisaki K, Yamaoka T, Iwasa K, et al: Preoperative risk factors for aneurysm sac expansion caused by type 2 endoleak after endovascular aneurysm repair. Vascular 2017; 25: 533–541 25) JCS Joint Working Group: Guidelines for diagnosis and treatment of aortic aneurysm and aortic dissection (JCS 2011). Circ J 2013; 77: 789–828 |
| References_xml | – reference: 23) Vogt J, Chlebowski H, Kniemeyer HW, et al: Successful reinstitution of CAPD after retroperitoneal repair of an aortic aneurysm: a case report. Perit Dial Int 1995; 15: 71–72 – reference: 9) Marchiori A, von Ristow A, Guimaraes M, et al: Predictive factors for the development of type II endolaks. J Endovasc Ther 2011; 18: 299–305 – reference: 7) Morisaki K, Yamaoka T, Iwasa K, et al: Preoperative risk factors for aneurysm sac expansion caused by type 2 endoleak after endovascular aneurysm repair. Vascular 2017; 25: 533–541 – reference: 21) 小坂眞一，杉本徳一郎，木村 剛：透析患者の循環器疾患の対する最新治療．南江堂，東京，2006 – reference: 12) Piazza M, Frigatti P, Scrivere P, et al: Role of aneurysm sac embolization during endovascular aneurysm repair in the prevention of type II endoleak-related complications. J Vasc Surg 2013; 57: 934–941 – reference: 11) Güntner O, Zeman F, Wohlgemuth WA, et al: Inferior mesenteric arterial type II endoleaks after endovascular repair of abdominal aortic aneurysm: are they predictable? Radiology 2014; 270: 910–919 – reference: 3) Cieri E, De Rango P, Isernia G, et al: Type II endoleak is and enigmatic and unpredictable marker of worse outcome after endovascular aneurysm repair. J Vasc Surg 2014; 59: 930–937 – reference: 15) Rayt HS, Sandford RM, Salem M, et al: Conservative management of type 2 endoleaks is not associated with increased risk of aneurysm rupture. Eur J Vasc Endovasc Surg 2009; 38: 718–723 – reference: 24) Norwood MGA, Polimenovi NM, Sutton AJ, et al: Abdominal aortic aneurysm repair in patients with chronic renal disease. Eur J Vasc Endovasc Surg 2004; 27: 287–291 – reference: 2) Brown A, Saggu GK, Bown MJ, et al: Type II endoleaks: challenges and solutions. Vasc Health Risk Manag 2016; 12: 53–63 – reference: 13) Touma J, Coscas R, Javerliat I, et al: A technical tip for total laparoscopic type II endoleak repair. J Vasc Surg 2015; 61: 817–820 – reference: 1) Powell JT, Sweeting MJ, Ulug P, et al; The EVAR-1, DREAM, OVER and ACE Trialists: Meta-analysis of individual-patient data from EVAR-1, DREAM, OVER and ACE trials comparing outcomes of endovascular or open repair for abdominal aortic aneurysm over 5 years. Br J Surg 2017; 104: 166–178 – reference: 5) El Batti S, Cochennec F, Roudot-Thoraval F, et al: Type II endoleaks after endovascular repair of abdominal aortic aneurysm are not always a benign condition. J Vasc Surg 2013; 57: 1291–1297 – reference: 18) 田中涼太，亀谷直樹，加藤幸裕，他：腹腔鏡下修復術を要した腹膜透析患者における鼠径ヘルニアの1例．日臨外会誌2015; 76: 1211–1214 – reference: 19) Saito A: Peritoneal dialysis in Japan: the issue of encapsulating peritoneal sclerosis and future challenges. Perit Dial Int 2005; 25 Suppl. 4: 77–82 – reference: 8) Muller-Wille R, Schotz S, Zeman F, et al: CT features of early type II endoleaks after endovascular repair of abdominal aortic aneurysms help predict aneurysm sac enlargement. Radiology 2015; 274: 906–916 – reference: 25) JCS Joint Working Group: Guidelines for diagnosis and treatment of aortic aneurysm and aortic dissection (JCS 2011). Circ J 2013; 77: 789–828 – reference: 14) Hinchliffe RJ, Singh-Ranger R, Whitaker SC, et al: Type II endoleak: transperitoneal sacotomy and ligation of side branch endoleaks responsible for aneurysm sac expansion. J Endovasc Ther 2002; 9: 539–542 – reference: 6) Moll FL, Powell JT, Fraedrich G, et al: Management of abdominal aortic aneurysms clinical practice guidelines of the European society for vascular surgery. Eur J Vasc Endovasc Surg 2011; 41 Suppl. 1: S1–S58 – reference: 4) Kaczybski J, Jaher B, Woolgar J: Rupture of the infrarenal abdominal aortic aneurysm (AAA) following an endovascular aneurysm repair (EVAR) due to an isolated type II endoleak. BMJ Case Rep 2014; doi: 10.1136/bcr-2013-202964 – reference: 17) 原 茂子：透析導入と主要合併症．日腎会誌2003; 45: 65–75 – reference: 10) Ward TJ, Cohen S, Patel RS, et al: Anatomic risk factors for type-2 endoleak following EVAR: a retrospective review of preoperative CT angiography in 326 patients. Cardiovasc Intervent Radiol 2014; 37: 324–328 – reference: 16) Chikazawa G, Hiraoka A, Hirai Y, et al: Open reintervention for aneurysmal sac enlargement after EVAR. Ann Vasc Dis 2014; 7: 350–353 – reference: 20) Pecoits-Filho R, Stenvinkel P, Wang AYM, et al: Chronic inflammation in peritoneal dialysis: the search for the holy grail? Perit Dial Int 2004; 24: 327–339 – reference: 22) 飯田泰功，小櫃由樹生，佐藤正宏，他：慢性腹膜透析患者の腹部大動脈瘤に対する分岐型人工血管置換術．日血外会誌2008; 17: 601–604 |
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| Snippet | 62歳の男性，腹膜透析依存状態となった後に腹部大動脈瘤と診断されendovascular aneurysm repair（EVAR）を施行したものの，難治性type IIエンドリークのため血管内治... |
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| Title | EVAR術後に難治性のtype IIエンドリークのために開腹手術を要した腹膜透析患者の1例 |
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