| Autor: |
Grabs, Anthony J., Irvine, Craig D., Lusby, Robert J. |
| Zdroj: |
Journal of Endovascular Therapy; June 2000, Vol. 7 Issue: 3 p236-239, 4p |
| Abstrakt: |
Purpose: To describe a technique for the endovascular treatment of aortoenteric fistula.Methods and Results: A 67-year-old man who had undergone aortobi-iliac grafting for aneurysmal disease 8 years previously presented with life-threatening upper gastrointestinal hemorrhage. Endoscopy after resuscitation did not identify the source of the bleeding. Computed tomographic (CT) scanning and angiography revealed pseudoaneurysm formation at the upper anastomosis 1 cm below the renal arteries. Measurements were taken for endovascular repair. Uncomplicated emergency aortic endografting for exclusion of the pseudoaneurysm was performed using a 28-mm × 3.75-cm AneuRx device. Gastrointestinal hemorrhage ceased. CT scanning at 6 months confirmed the absence of a pseudoaneurysm, and the patient remains symptom free at 18 months.Conclusions: Endovascular treatment of aortoenteric fistula may represent a technique for treating gastrointestinal hemorrhage and for lessening the morbidity and mortality of open repair. |
| Databáze: |
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