Endoleaks After Endovascular Abdominal Aortic Aneurysm Repair

2010年的個案,用的是當時的古董機型Aloka SSD-900,
看到這段影像和超音波機器的圖片,許多回憶湧上心頭啊。

78歲男性,AAA病史,接受過endovascular AAA repair,
來急診主訴為腹痛,當然要小心的是又破裂了。
這段特寫的記錄可以看到
AAA
Endovascular stent
Pulsatile signals & leakage around stent
Echogenic hematoma around AAA

跟上面影像相對應的CT

這個患者KUB上也可見在動脈支架旁有異常增加的軟組織訊號,
這就是在AAA旁的血塊所造成的。

超音波完整的橫向及縱向記錄,
當時用的機器幾乎沒有錄影功能,
還是有多虧當時鄭伯良醫師幫忙外接錄影設備,
讓我們有機會見証歷史的過往。

The term “endoleak” was first coined by White et al. [1] and is defined as leakage of blood into an excluded aneurysm sac after stent-graft placement. An endoleak is one of the most common complications of EVAR and may progress to aneurysm rupture
Endoleaks After Endovascular Abdominal Aortic Aneurysm Repair: Management Strategies According to CT Findings

Follow up CT angiography post EVAR: Endoleaks detection, classification and management planning

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