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覆膜支架治愈腹主动脉-下腔静脉瘘一例
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Radiology
- Issue:
- 4
- DOI:
- 10.3760/cma.j.issn.1005-1201.2014.04.026
- Key Word:
- No keyword available
Abstract： 腹主动脉瘤(abdominal aortic aneurysm,AAA)破裂伴腹主动脉-下腔静脉瘘(aorto-caval fistula,ACF)少见,不足AAA的1％[1].笔者采用覆膜支架成功治愈1例,现报道如下.患者 男,70岁.因纳差10 d于2013年1月8日入院.既往有高血压和2型糖尿病史.入院后行CTA示:腹主动脉下段分叉处血管壁局限性向后突出形成囊性扩张,横断面5.9cm×4.0 cm(图1),有附壁血栓形成,动脉壁明显增厚伴多发钙化形成,动脉腔受压移位.入院第2天开始出现右下肢肿胀,逐渐加重,伴尿量递减,血清肌酐(Scr)递增.
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