Endovascular Balloon Proximal Occlusion during Repair for Ruptured Abdominal Aortic Aneurysm: Report of a Case

腹主動脈瘤破裂是外科急症，雖然血管內包覆性支架已經開啟了微創治療的可能性，但昂貴的醫材和不普及的技術卻限制了它的廣泛使用。因此，即便存在很高的手術風險，外科手術常常是治療的第一線選擇。然而後腹腔血腫，有限的空間和解剖結構的改變都使得主動脈夾鉗增加許多困難。我們在此報告一例73歲男性病患，使用方便取得的導尿管進行主動脈的血管內氣球阻斷術，以減少無謂的剝離，縮短吻合時間，減少出血量，達到成功手術的目標。此種簡單方便的方法可以增加急性腹主動脈瘤破裂手術的成功機率。

關鍵字

無資料

並列摘要

Surgery for ruptured abdominal aortic aneurysm still remains the first-line treatment despite extremely high risk. We report a 73-year-old man with ruptured abdominal aortic aneurysm who was successfully treated by open surgery. The critical part to achieve proximal control was simplified by the application of a readily available Foley catheter as endovascular balloon. A purse-string suture was used to seal the Foley catheter puncture hole. The balloon catheter was inserted and threaded into aneurysm neck bimanually. Loss of distal pulsations was confirmed prior to opening the aneurysm sac. Endoaneurysmorrhaphy with tube graft interposition was performed as routine manners. This simple and reproducible technique provides rapid and better proximal control in order to reduce blood loss and unnecessary dissection. It allows most of the cardiovascular surgeons to circumvent the rare but complicated cases.

並列關鍵字

abdominal aortic aneurysm ； rupture ； balloon occlusion ； Foley catheter

國際替代計量

Endovascular Balloon Proximal Occlusion during Repair for Ruptured Abdominal Aortic Aneurysm: Report of a Case

全文下載

主題瀏覽