緊急ステントグラフト内挿術で治療した破裂性腹部大動脈瘤の4例

Four cases of ruptured abdominal aortic aneurysm treated by emergent endovascular aortic repair

Creators Kawamura Daichi

Creators Nagase Takashi

Creators Samura Makoto

Creators Yamashita Osamu

Creators Murakami Masanori

Creators Suehiro Koutarou

Creators Morikage Noriyasu

Creators Hamano Kimikazu

緊急ステントグラフト内挿術で治療した破裂性腹部大動脈瘤の4例について報告する.年齢は60~90歳,男性3例,女性1例であった.術前Rutherford分類はレベﾙ1が1例,レベﾙ2が2例,レベル3が1例,Fitzgerald分類はII型1例,III型3例であった.EVARの術前評価は,2例では紹介医からの単純CTのみで,2例では造影CTでなされた.来院から手術までの時間は119±48分,全例にゴア社製エクスクルーダーが留置された.手術時間は212±93分,出血量は169±197gであった.3例はエンドリーｸなく経過したが,1例は早期にtypeⅠbエンドリークによる再破裂をきたし,瘤切除･人工血管置換術が行われた.90歳の高齢の1例を失ったが,3例は社会復帰している.

We have experienced 4 cases of endovascular repair for a ruptured abdominal aortic aneurysm. The patients were from 60 to 90 years old. The study population comprised 3 men, and 1 woman. The pre-operative Rutherford classification was level 1 for 1 patient, level 2 for 2 patients, and level 3 for 1 patient. The Fitzgerald classification was type II for 1 patient, and type III for 3 patients. CT angiography was performed for 2 patients, and only plain CT had been performed for the other 2 patients at the previous hospital. The median time interval from arrival at the hospital to the time the operation was performed was 119 ± 48 minutes. For all the patients, the endovascular repair operations were performed using the Gore Excluder device. The median operative time was 212 ± 93 minutes, and the blood loss was 169 ± 197 g. In 3 cases, there was no endoleak

[ISSN]0513-1731

[NCID]AN00243156