一名感染人类免疫缺陷病毒的患者发生自发性动脉血栓形成：药物机械性血栓切除术治疗成功。

Spontaneous arterial thrombosis in a patient with human immunodeficiency virus infection: successful treatment with pharmacomechanical thrombectomy.

作者信息

Bush Ruth L, Bianco Charles C, Bixler Thomas J, Lin Peter H, Lumsden Alan B

机构信息

Section of Vascular Surgery and Endovascular Therapy, Michael E. DeBakey Department of Surgery, Baylor College of Medicine, 6550 Fannin, Suite 1661, Houston, TX 77030, USA.

出版信息

J Vasc Surg. 2003 Aug;38(2):392-5. doi: 10.1016/s0741-5214(03)00138-1.

DOI:10.1016/s0741-5214(03)00138-1

PMID:12891127

Abstract

Patients with human immunodeficiency virus (HIV) have various coagulation abnormalities as well as increased risk for development of clinical thrombosis and subsequent embolic events. We report acute lower leg ischemia caused by spontaneous atheroembolism with no identifiable source in a young patient with HIV infection. Treatment included percutaneous mechanical thrombectomy and thrombolysis, which reversed the arterial ischemia. Physicians should be aware of thromboembolic disease as a possible complication of HIV.

摘要

感染人类免疫缺陷病毒（HIV）的患者存在多种凝血异常，临床血栓形成及随后发生栓塞事件的风险也会增加。我们报告了一名年轻的HIV感染患者发生自发性动脉粥样硬化栓塞导致急性小腿缺血，且未发现明确栓子来源。治疗措施包括经皮机械血栓切除术和溶栓治疗，成功逆转了动脉缺血。医生应意识到血栓栓塞性疾病可能是HIV感染的一种并发症。