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非特异性主动脉动脉炎患者胸主动脉腔内血管成形术后的主动脉夹层形成

Aortic dissection following transluminal angioplasty of the thoracic aorta in nonspecific aortoarteritis.

作者信息

Sharma S, Gupta A K, Dev V

机构信息

Department of Cardiovascular Radiology, All India Institute of Medical Sciences, New Delhi.

出版信息

Int J Cardiol. 1992 May;35(2):264-7. doi: 10.1016/0167-5273(92)90187-8.

DOI:10.1016/0167-5273(92)90187-8
PMID:1349302
Abstract

We performed transluminal angioplasty for an eccentric, calcific stenosis of the thoracic aorta in a patient with nonspecific aortoarteritis and encountered an iatrogenic aortic dissection. Follow-up by intravenous digital subtraction angiography at 12 hours and at one week showed no change in the picture. He is asymptomatic at 6 months except for residual hypertension. Eccentric, localized thoracic stenosis may constitute an unfavourable angiographic morphology for angioplasty.

摘要

我们对一名患有非特异性主动脉动脉炎的患者的胸主动脉偏心性钙化狭窄进行了腔内血管成形术,术中发生了医源性主动脉夹层。术后12小时和1周通过静脉数字减影血管造影进行随访,结果显示影像无变化。6个月时,除残留高血压外,他没有症状。偏心性、局限性胸段狭窄可能是血管成形术不利的血管造影形态。

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引用本文的文献

1
Influence of angiographic morphology on the acute and longer-term outcome of percutaneous transluminal angioplasty in patients with aortic stenosis due to nonspecific aortitis.血管造影形态对非特异性主动脉炎所致主动脉瓣狭窄患者经皮腔内血管成形术急性及长期预后的影响。
Cardiovasc Intervent Radiol. 1994 May-Jun;17(3):147-51. doi: 10.1007/BF00195508.