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主动脉食管瘘——使用血管内支架移植物缓解大量呕血

Aortoesophageal fistula-relief of massive hematemesis with an endovascular stent-graft.

作者信息

Kato N, Tadanori H, Tanaka K, Yasuda F, Iwata M, Kawarada Y, Yada I, Takeda K

机构信息

Department of Radiology, Mie University Hospital, 2-174 Edobashi, Tsu, Mie, Japan.

出版信息

Eur J Radiol. 2000 Apr;34(1):63-6. doi: 10.1016/s0720-048x(99)00107-2.

Abstract

A 59-year-old man with an esophageal carcinoma developed massive hematemesis due to aortoesophageal fistula after irradiation therapy reached 58 Gy. Emergent treatment with an endovascular stent-graft was successfully performed and the patient followed an uneventful course until he died of pneumonia 4.5 months later, which was caused by a tracheoesophageal fistula. Stent-graft repair is a safe and effective method to treat aortoesophageal fistula and may be an alternative to surgical resection.

摘要

一名59岁的食管癌男性患者,在接受58 Gy的放射治疗后因主动脉食管瘘出现大量呕血。成功进行了血管内支架移植物的紧急治疗,患者病情平稳,直到4.5个月后死于肺炎,肺炎由气管食管瘘引起。支架移植物修复是治疗主动脉食管瘘的一种安全有效的方法,可能是手术切除的替代方案。

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