Polymers in Medicine
2010, vol. 40, nr 1, January-March, p. 31–35
Publication type: clinical case
Language: Polish
Zastosowanie siatki dakronowej w zewnętrznym uszczelnieniu przecieku typu I, po wszczepieniu protezy wewnątrznaczyniowej w tętniaka aorty brzusznej
The use of the dacron net in the externa tightening of the endoleak type I, after the stengraft implantation in the abdominal aorta aneurysm
1 Katedra i Klinika Chirurgii Naczyniowej, Ogólnej i Transplantacyjnej Akademia Medyczna we wrocławiu
Streszczenie
Zamocowanie protezy naczyniowej poniżej tętnic nerkowych, gdy szyja tętniaka jest krótka, niesie ryzyko pojawienia się przecieku (endoleaku) i typu. u takich pacjentów należy liczyć się z koniecznością jednoetapowego lub dwuetapowego zaopatrzenia przecieku tzw. bandingiem, czyli uszczelnieniem szyi tętniaka na założonej protezie wewnątrznaczyniowej (stent-graft) metodą otwartą, polegającą na zaciśnięciu szyi tętniaka na stentgrafcie, przy użyciu tasiemek lub szerokiego paska z siatki dakronowej. w pracy przedstawiono 3 przypadki ban dingu. wobec masywnego przecieku i typu i groźby pęknięcia tętniaka aorty brzusznej, zdecydowano się na wykonanie korekcji chirurgicznej metodą otwartą, tzw. bandingu.
Abstract
Implantation of the vascular prosthesis below renal artery when the neck of the aneurism is short, carries the risk of the appearance of the endoleak type i. at such patients one ought to make allowance for with the necessity of the single-stage or two-stage-supply of the endoleak with banding method that is to say with the tightening of the neck of the aneurysm on the stengraft with the open method. this method consisting in to the compression of the neck of the aneurism on stentgarft at the use of ribbons or the wide belt from the dacron net. in this paper one represented 3 patients operated with banding method. in the face the massive endoleak type i and the threat of the ruptum of the aneurysm one decided on the realization of the surgical corection with the open method with banding.
Słowa kluczowe
zewnętrzne uszczelnienie przecieku (banding), proteza wewnątrznaczyniowa, tętniak aorty, przeciek typu I
Key words
banding, stent-graft, endoleak type I
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