Aortogreft trombozu veya oklüzyonu

Özet

Kontrastlı BT anjiyografide endogreft trombozu, greft lümeninde tam veya kısmi opasifikasyon kaybı (trombotik oklüzyon) olarak izlenir. BT anjiyografi, endogreft oklüzyonunun varlığını ve uzanımını değerlendirmede kullanılır; BT, endovasküler aort onarımı sonrası komplikasyonların görüntüleme izleminin temel yöntemidir. Greft kıvrılması tromboz veya oklüzyonla ilişkili olabilir; endogreft çökmesi de bildirilen cihaz komplikasyonlarındandır. Oklüzyonun uzanımı, böbrek perfüzyonu ve alt ekstremite kollateral dolaşımı BT görüntülemede değerlendirilebilir.

Faz ve pencere

BTA tanısal

Kontrastlı BT'de endogreftin tam trombotik oklüzyonu gösterilebilir. BT anjiyografide oklüzyonun distal uzanımı ve alt ekstremite kollateral dolaşımı gösterilebilir.

BT bulguları

• Endogreft trombozunun varlığı ve uzanımı kontrastlı BT'de değerlendirilebilir; aksiyel kaynak görüntüler trombüsü belirlemede, çok düzlemli rekonstrüksiyonlar ise damar anatomisini değerlendirmede kullanılır.
• Endogreft komplikasyonları arasında kıvrılma, stenoz ve tromboz yer alır.
• Tam greft oklüzyonu, kontrastlı görüntülemede greft lümeninde tam opasifikasyon kaybı veya ani opasifikasyon durması olarak izlenir.
• Oklüzyonun distal uzanımı ve alt ekstremite kollateral dolaşım BT anjiyografide değerlendirilebilir.
• Endogreftte mekanik kompresyon stenoz ve tromboza yol açabilir; kıvrılma ve çökme de bildirilen cihaz komplikasyonlarındandır.
• Aort grefti trombozu veya kıvrılması ekstremite ve mezenter iskemisine yol açabilir.
• Endoleak değerlendirmesinde anevrizma kesesi ile endogreft bütünlüğünü birlikte inceleyin.
• BT anjiyografide oklüzyonun greft gövdesi ve dallar boyunca uzanımını ve alt ekstremite kollateral dolaşımını değerlendirin.

Normalde

Patent endogreftte kontrastlı görüntülemede greft lümeninde kesintisiz akım ve opasifikasyon izlenir. Greft açıklığı BT anjiyografiyle değerlendirilir; kontrastsız seri, beklenen postoperatif bulguların komplikasyonları taklit ettiği durumlarda ayırıcı değerlendirmeye yardımcı olabilir.

Ayırıcı tanı

Tip II endoleak, EVAR sonrası en sık görülen endoleak alt tipidir.

Greft kıvrılması veya mekanik çökme

keskin açılanma ya da lümenin içe katlanması akım kanalını daraltabilir; kıvrılma tromboz ve oklüzyonla ilişkili olabilir.

Aort cerrahisi sonrası beklenen BT görünümleri diseksiyon gibi komplikasyonları taklit edebilir; tipik görünüm ve yerleşim ayırıcı değerlendirmede yardımcı olur.

Greft enfeksiyonunda perigraft gaz ve sıvı ile greft-bağırsak fistülü görülebilir.

Postoperatif beklenen materyallerin komplikasyondan ayrımında önceden kontrast serisi ve anatomik yerleşim değerlendirmesi yardımcı olur.

Tuzaklar

• Endoleak değerlendirmesinde anevrizma kesesi ile endogreft bütünlüğünü birlikte inceleyin.
• Cerrahi greft katlantısı şüphesinde, aort cerrahisi sonrası beklenen BT görünümlerinin komplikasyonları taklit edebileceğini ve tipik görünüm ile yerleşimin ayırıcı değerlendirmeye yardımcı olduğunu dikkate alın.
• Teknik olarak yetersiz kontrast opasifikasyonu değerlendirmeyi güçleştirebilir; BT anjiyografide greft oklüzyonunun uzanımını ve distal kollateral dolaşımı birlikte inceleyin.

Kendini dene

1. EVAR sonrası BT'de endogreftin ana gövdesinden her iki iliak kola uzanan tam trombotik tıkanıklık görülüyor. En olası bulgu hangisidir?

   • Tam greft trombozu
   • Tip II endoleak
   • Greft migrasyonu
   • Greft enfeksiyonu
   Cevabı göster

   Tam greft trombozu. Kontrastlı BT'de endogreft ana gövdesi ile her iki iliak kolu kapsayan tam trombotik oklüzyon, tam greft trombozunu destekler.

2. Endogreftin tam oklüzyonunu gösteren BT anjiyografide alt ekstremitelerde yaygın kollateral dolaşım görülmesi en çok neyi düşündürür?

   • Kronik ilerleyici iskemi
   • Tip II endoleak
   • Greft migrasyonu
   • Greft enfeksiyonu
   Cevabı göster

   Kronik ilerleyici iskemi. Kaynak olguda BT anjiyografide alt ekstremitelere uzanan yaygın kollateral dolaşım kronik ilerleyici iskemiyle ilişkilendirilmiştir.

Kaynaklar

Bu sayfadaki 34 cümle ve 2 quiz sorusu aşağıdaki kaynaklardan alıntılarla otomatik olarak karşılaştırıldı; 26 cümle bu karşılaştırmada düzeltildi (2026-10-09).

1. Fixing the Valve but Not the Flowpmc.ncbi.nlm.nih.gov
2. Covered aortic stent graft reconstruction of the inferior vena cava after iatrogenic injury during inferior vena cava filter retrievalpmc.ncbi.nlm.nih.gov
3. Late Complete Endograft Occlusion After Endovascular Aneurysm Repair Successfully Treated With Unilateral Endograft Relining and Femoro-femoral Bypass: A Case Reportpmc.ncbi.nlm.nih.gov
4. Managing Aortic Regurgitation and Dynamic Aortic Thrombus in a Patient With Left Ventricular Assist Devicepmc.ncbi.nlm.nih.gov
5. Stump-related embolism from a thrombosed carotid–subclavian bypass causing large vessel occlusion after thoracic endovascular aortic repairpmc.ncbi.nlm.nih.gov
6. Clinical management for complications related to implantable LVAD use.pubmed.ncbi.nlm.nih.gov
7. Acute non-traumatic disease of the abdominal aorta.pubmed.ncbi.nlm.nih.gov
8. Occlusal Angles of Equine Incisors.pubmed.ncbi.nlm.nih.gov
9. Virtual occlusal definition for orthognathic surgery.pubmed.ncbi.nlm.nih.gov
10. Human mandibular shape is associated with masticatory muscle force.pubmed.ncbi.nlm.nih.gov
11. [Endovascular treatment of common iliac artery aneurisms].pubmed.ncbi.nlm.nih.gov
12. The biting performance of Homo sapiens and Homo heidelbergensis.pubmed.ncbi.nlm.nih.gov
13. Collateral Development in Thrombosis of the Hepatic Artery After Transplantation.pubmed.ncbi.nlm.nih.gov
14. Genetic influence on the curves of occlusion in children seeking orthodontic treatment.pubmed.ncbi.nlm.nih.gov
15. Viscoelasticity of human oral mucosa: implications for masticatory biomechanics.pubmed.ncbi.nlm.nih.gov
16. Radiographic predictors for maxillary canine impaction.pubmed.ncbi.nlm.nih.gov
17. Overeruption of periodontally affected unopposed molars in adult rats.pubmed.ncbi.nlm.nih.gov
18. Low-intensity pulsed ultrasound reduces periodontal atrophy in occlusal hypofunctional teeth.pubmed.ncbi.nlm.nih.gov
19. Results of reinterventions for failed endovascular aortic repair: a single-center experience.pubmed.ncbi.nlm.nih.gov
20. Recurrent thoracic aortic stent graft thrombosis.pubmed.ncbi.nlm.nih.gov
21. Acute Limb Ischemia Caused by Distal Embolization from an External Iliac Artery Pseudoaneurysm Associated with a Protruding Acetabular Screw: A Case Report.pubmed.ncbi.nlm.nih.gov
22. Targeting the sac or the feeders? An anatomy-driven review of contemporary embolization strategies of type II endoleaks.pubmed.ncbi.nlm.nih.gov
23. Contained Rupture of a Saphenous Vein Graft Pseudoaneurysm Following Coronary Artery Bypass Grafting.pubmed.ncbi.nlm.nih.gov
24. A Thrombosed Popliteal Artery Aneurysm Masquerading as a Benign Soft-Tissue Mass: A Case Report Emphasizing the Role of Multimodal Imaging.pubmed.ncbi.nlm.nih.gov
25. Complete abdominal aortic occlusion following seat-belt trauma: a proposal for early recognition.pubmed.ncbi.nlm.nih.gov
26. Long-term safety and effectiveness of the "OptEase" vena cava filter.pubmed.ncbi.nlm.nih.gov
27. Endovascular Management of Aorto-iliac Bifurcation Rupture.pubmed.ncbi.nlm.nih.gov
28. Endovascular repair of a complicated acute type B aortic dissection in a pediatric patient with visceral and lower-extremity malperfusion.pubmed.ncbi.nlm.nih.gov
29. A Case of High-Risk Acute Stanford Type B Aortic Dissection in a Right-Sided Aortic Arch Presenting With Transient Hemiparesis.pubmed.ncbi.nlm.nih.gov
30. Acute Traumatic Aortic Injury: What the Radiologist Needs to Know.pubmed.ncbi.nlm.nih.gov
31. Current updates in acute traumatic aortic injury: radiologic diagnosis and management.pubmed.ncbi.nlm.nih.gov
32. Contemporary review on spontaneous coronary artery dissection: insights into the angiographic finding and differential diagnosis.pubmed.ncbi.nlm.nih.gov
33. Inferior Vena Cava Graft-Enteric Fistula Presenting with Occult Gastrointestinal Bleeding and Psoas Abscess: A Rare Case Report.pubmed.ncbi.nlm.nih.gov
34. Life-saving staged management of a secondary aortoesophageal fistula after arch replacement: a case report.pubmed.ncbi.nlm.nih.gov
35. Case report: Diffuse large B-cell lymphoma associated with chronic inflammation presenting as a rapidly enlarging perigraft hematoma after TEVAR.pubmed.ncbi.nlm.nih.gov
36. Non-contrast microvascular flow imaging in abdominal ultrasound: a pictorial essay.pubmed.ncbi.nlm.nih.gov
37. Atherosclerotic Abdominal Aortic Aneurysms on Computed Tomography Angiography: A Narrative Review on Spectrum of Findings, Structured Reporting, Treatment, Secondary Complications and Differential Diagnosis.pubmed.ncbi.nlm.nih.gov
38. Hybrid Open and Endovascular Repair in Pararenal Abdominal Aortic Pseudoaneurysm-Literature Review and Case Presentation.pubmed.ncbi.nlm.nih.gov
39. Late Complete Endograft Occlusion After Endovascular Aneurysm Repair Successfully Treated With Unilateral Endograft Relining and Femoro-femoral Bypass: A Case Report.pubmed.ncbi.nlm.nih.gov
40. Stump-related embolism from a thrombosed carotid-subclavian bypass causing large vessel occlusion after thoracic endovascular aortic repair.pubmed.ncbi.nlm.nih.gov
41. Early Postoperative Simultaneous Occlusion of the Internal and External Iliac Artery Limbs after GORE Excluder Iliac Branch Endoprosthesis Implantation.pubmed.ncbi.nlm.nih.gov
42. Intraoperative Detection of Distal True Lumen Collapse and Endovascular Salvage Following Frozen Elephant Trunk Repair for Acute Stanford Type A Intramural Hematoma.pubmed.ncbi.nlm.nih.gov
43. Endovascular Management of Inferior Vena Cava-Right Atrial Luminal Narrowing Following Orthotopic Heart Transplantation: A Case Report.pubmed.ncbi.nlm.nih.gov
44. A Common Language for Post-Transplant Anastomotic Biliary Strictures: Standardized Endoscopic Outcome Definitions and a Failure-Mode Roadmap.pubmed.ncbi.nlm.nih.gov
45. Multimodality Imaging Approach in Diagnosis and Follow-Up of Aortic Coarctation in Adulthood.pubmed.ncbi.nlm.nih.gov
46. Thrombectomy and balloon angioplasty for a traumatic popliteal artery injury: A stent-free approach.pubmed.ncbi.nlm.nih.gov
47. Unibody design for aortic disease with a narrow aortic bifurcation: tips and tricks for success.pubmed.ncbi.nlm.nih.gov
48. Mechanisms of aortic dissection: From pathological changes to experimental and <i>in silico</i> models.pubmed.ncbi.nlm.nih.gov
49. Spectral Computed Tomography Angiography in Visceral Artery Aneurysms: Technical Principles and Clinical Applications.pubmed.ncbi.nlm.nih.gov
50. Artificial Intelligence for Computer-Aided Detection in Endovascular Interventions: Clinical Applications, Validation, and Translational Perspectives.pubmed.ncbi.nlm.nih.gov
51. Chronic Contained Rupture of a Common Iliac Artery Aneurysm Presenting with Iliac Artery Occlusion: A Case Report.pubmed.ncbi.nlm.nih.gov
52. Contrast-enhanced ultrasound versus CT angiography for endoleak detection after EVAR: a reference-standard-aware systematic review and meta-analysis.pubmed.ncbi.nlm.nih.gov
53. The "Kabedon" technique for treatment of abdominal aortic aneurysm with severe angulation of infrarenal aortic neck.pubmed.ncbi.nlm.nih.gov
54. Total laparoscopic radical hysterectomy for cervical cancer in prolapsed uterus.pubmed.ncbi.nlm.nih.gov
55. Patterns of injury and violence in Yaoundé Cameroon: an analysis of hospital data.pubmed.ncbi.nlm.nih.gov
56. Early single-centre experience with physician-modified and Najuta fenestrated endografts for aortic arch disease: technical considerations and bailout strategies.pubmed.ncbi.nlm.nih.gov
57. Physiologically Adaptive Soft Millirobot for Atraumatic Endovascular Therapy.pubmed.ncbi.nlm.nih.gov
58. Chronic Thoracic Aortic Dissection: How to Treat, When to Intervene.pubmed.ncbi.nlm.nih.gov
59. Conference Proceedings: Select Abstracts Presented at the 2025 Advocate Aurora Scientific Day.pubmed.ncbi.nlm.nih.gov
60. Imaging of thoracic aortic disease.pubmed.ncbi.nlm.nih.gov
61. Mimics of Complications in the Postsurgical Aorta at CT.pubmed.ncbi.nlm.nih.gov
62. Radiologic evaluation of the kidney transplant donor and recipient.pubmed.ncbi.nlm.nih.gov
63. 2.5-mm articulated endoluminal forceps using a compliant mechanism.pubmed.ncbi.nlm.nih.gov
64. Preoperative planning for endovascular aortic arch repair.pubmed.ncbi.nlm.nih.gov
65. Pictorial review: a step-by-step guide to coronary CT angiography with photon-counting detector CT.pubmed.ncbi.nlm.nih.gov
66. Enabling Transfemoral TAVI Through a Hostile Abdominal Aortic Anatomy and a Migrated Mesenteric Stent Fragment: Review of the Literature and a Case Presentation.pubmed.ncbi.nlm.nih.gov
67. Spinal cord protection in open and endovascular aortic surgery: current strategies, controversies and future directions.pubmed.ncbi.nlm.nih.gov
68. Non-pulmonary postoperative complications of cardiothoracic surgery.pubmed.ncbi.nlm.nih.gov
69. Complications of endovascular aneurysm repair of the thoracic and abdominal aorta: evaluation and management.pubmed.ncbi.nlm.nih.gov
70. Emergent hybrid surgical approaches for non-dissecting ruptured Kommerell's aneurysm: a case report series.pubmed.ncbi.nlm.nih.gov
71. Utility of four-dimensional computed tomography scan following endovascular aneurysm repair.pubmed.ncbi.nlm.nih.gov
72. Super-Selective Embolization Using Flow-Directed Microcatheter and 0.010-inch Microwire for Type II Endoleak Following Thoracic Endovascular Aortic Repair: A Three-Case Report.pubmed.ncbi.nlm.nih.gov
73. Intra-arterial computed tomography angiography during fenestrated and branched endovascular aortic repair.pubmed.ncbi.nlm.nih.gov
74. Open Repair of a Giant Superficial Femoral-Popliteal Artery Aneurysm Using Autologous Saphenous Vein Bypass: A Case Report.pubmed.ncbi.nlm.nih.gov
75. Thoracobifemoral bypass as salvage after sequential failure of endovascular and open aortoiliac reconstruction.pubmed.ncbi.nlm.nih.gov
76. Surgical and Histopathologic Insights Into Mid-Aortic Syndrome: A Case Report.pubmed.ncbi.nlm.nih.gov
77. Acute Myocardial Infarction Secondary to Idiopathic Ascending Aortic Thrombus.pubmed.ncbi.nlm.nih.gov
78. Physician-modified endografts using an endoskeleton ePTFE platform for complex aortic aneurysms requiring a single fenestration: a proof-of-concept study.pubmed.ncbi.nlm.nih.gov
79. Circumferential False Lumen Exclusion: A Technique for Indirect Cannulation of a Dissected Innominate Artery in Acute Type A Aortic Syndromes.pubmed.ncbi.nlm.nih.gov
80. Aortic Injury and Hemopericardium: Key Findings and Evaluation.pubmed.ncbi.nlm.nih.gov
81. The Snubbed Complication: Why Postinfarction Ventricular Septal Defect Management Lacks Evidence-Based Guidance in 2026.pubmed.ncbi.nlm.nih.gov
82. Idiopathic IgG4-negative perivascular fibrosis with extensive thoracic aortic, coronary artery, and supra-aortic branch involvement: A case report.pubmed.ncbi.nlm.nih.gov
83. Outcomes of Intentional Celiac Artery Coverage During Thoracic Endovascular Aortic Repair for Infective Native Aortic Aneurysms: A Case Series.pubmed.ncbi.nlm.nih.gov
84. Coronary-Driven Cerebral Revascularization in Type 2a Takayasu Arteritis: A Rare Multisystem Collateral Phenotype.pubmed.ncbi.nlm.nih.gov
85. CT diagnosis and destiny of acute aortic intramural hematoma.pubmed.ncbi.nlm.nih.gov
86. Endovascular management of iliac vessel injury complicating lumbar disc surgery: a case report and review of literature.pubmed.ncbi.nlm.nih.gov
87. The early fogging effect in cerebral infarction - a case report and review of the literature.pubmed.ncbi.nlm.nih.gov
88. Defying the Clock: Restoring Renal Function After 72 Hours of Subacute Renal Thrombosis.pubmed.ncbi.nlm.nih.gov
89. Tracking False Lumen Remodeling with AI: A Variational Autoencoder Approach After Frozen Elephant Trunk Surgery.pubmed.ncbi.nlm.nih.gov
90. Computed tomography angiography-confirmed aortic in-stents floating thrombus after endovascular stenting: a retrospective study.pubmed.ncbi.nlm.nih.gov
91. Clinical Imaging and Innovations in Aortic Aneurysm and Dissection.pubmed.ncbi.nlm.nih.gov
92. Exploratory proof-of-concept study and failure mode analysis of a dual-lumen stent graft for transapical off-pump LVAD implantation.pubmed.ncbi.nlm.nih.gov
93. Saphenous Vein Graft Kinking Secondary to Left Atrial Appendage Clip Causing Type 5 Myocardial Infarction.pubmed.ncbi.nlm.nih.gov
94. Coronary Arterial Anomalies in Adults with Congenital Heart Disease: From Detection to Management Strategies.pubmed.ncbi.nlm.nih.gov
95. Clinically silent early proximal seal failure with suspected interval distal endograft displacement after hybrid zone 2 thoracic endovascular aortic repair in severe arch tortuosity: a case report with 1-year follow-up.pubmed.ncbi.nlm.nih.gov
96. Anatomy of a Rescue: Explantation and Reconstruction After Complex Endovascular Aortic Repair-A Systematic Review of Case Reports.pubmed.ncbi.nlm.nih.gov
97. Endovascular salvage of a dislodged renal bridging stent using balloon-induced foreshortening following thoracoabdominal multibranch endograft.pubmed.ncbi.nlm.nih.gov
98. The Management of Left Subclavian Artery in Aortic Open and Endovascular Surgery.pubmed.ncbi.nlm.nih.gov
99. Evolution of Sac Filling Techniques and Concepts in Endovascular Treatment of Abdominal Aortic Aneurysm: A Narrative Review.pubmed.ncbi.nlm.nih.gov
100. Comparative Evaluation of Clinical Outcomes Following Endovascular and Hybrid Repair of Aortic Arch Aneurysms.pubmed.ncbi.nlm.nih.gov
101. Computed Tomography Imaging of Thoracic Aortic Surgery: Distinguishing Life-Saving Repairs from Life-Threatening Complications.pubmed.ncbi.nlm.nih.gov
102. Air within surgical arterial graft on computed tomography-An alarming finding of a rare complication.pubmed.ncbi.nlm.nih.gov
103. Comparison of endoleak diagnostic efficacy of contrast-enhanced ultrasound and computed tomography angiography after endovascular aneurysm repair for abdominal aortic aneurysm.pubmed.ncbi.nlm.nih.gov
104. Post-EVAR Endoleaks: A Morphovolumetric Approach to Prediction, Surveillance, and Management.pubmed.ncbi.nlm.nih.gov
105. In situ laser fenestration with coil embolization of expanding internal iliac artery aneurysm following previous stent graft coverage.pubmed.ncbi.nlm.nih.gov
106. CT-Centered Multimodality Imaging of Arterial Wall Fragility in Acute Aortic Syndromes: A Narrative Review of Imaging Markers and Clinical Implications.pubmed.ncbi.nlm.nih.gov
107. Clinical outcomes of external fenestration TEVAR in Stanford type B aortic dissection involving the left subclavian artery: a retrospective study.pubmed.ncbi.nlm.nih.gov
108. Safety and Feasibility of In Situ Fenestration in the Aortic Arch: A Prospective Single-Center Observational Cohort Study.pubmed.ncbi.nlm.nih.gov
109. Technical and anatomical considerations in aortic stent graft infolding following thoracic endovascular aortic repair.pubmed.ncbi.nlm.nih.gov
110. Coil embolization for type IA endoleak after thoracic branched endoprosthesis placement in type B dissection.pubmed.ncbi.nlm.nih.gov
111. Using patient-specific computational fluid dynamics to assess intraprosthetic thrombus formation risk and guide relining after endovascular aneurysm repair.pubmed.ncbi.nlm.nih.gov
112. Medium-term clinical and imaging outcomes of SilverFlow covered bridging stent implantation using <i>in situ</i> fenestration for aortic arch lesions: a single-centre retrospective cohort study.pubmed.ncbi.nlm.nih.gov
113. Rare and fatal late-term complication of endovascular aneurysm repair: Migration of the endograft into the duodenum.pubmed.ncbi.nlm.nih.gov
114. Endograft Collapse After Endovascular Aortic Aneurysm Repair With Acute Aortic Occlusion: A Case Report.pubmed.ncbi.nlm.nih.gov
115. Atypical perfusion compromising circulatory arrest during mechanical root replacement and aortic arch replacement with frozen elephant trunk in ACTA2 aortopathy.pubmed.ncbi.nlm.nih.gov

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