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经皮穿刺开窗治疗I型主动脉夹层以缓解下肢缺血

Percutaneous fenestration of a type I aortic dissection for relief of lower extremity ischemia.

作者信息

Faykus M H, Hiette P, Koopot R

机构信息

St. Joseph's Hospital/Barrow's Neurological Institute, Department of Diagnostic Radiology, Phoenix, AZ 85013.

出版信息

Cardiovasc Intervent Radiol. 1992 May-Jun;15(3):183-5. doi: 10.1007/BF02735585.

DOI:10.1007/BF02735585
PMID:1628286
Abstract

A 36-year-old patient underwent successful percutaneous fenestration of a type I aortic dissection which had caused occlusion of the right common iliac artery and ischemia of the right lower extremity. The patient is currently (6 months post-fenestration) ambulating without any signs of vascular compromise. The technique may be useful in patients who are at high risk for surgical procedures.

摘要

一名36岁患者成功接受了经皮I型主动脉夹层开窗术,该夹层导致右髂总动脉闭塞及右下肢缺血。患者目前(开窗术后6个月)可正常行走,无任何血管受损迹象。该技术可能对手术风险高的患者有用。

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Percutaneous fenestration of a type I aortic dissection for relief of lower extremity ischemia.经皮穿刺开窗治疗I型主动脉夹层以缓解下肢缺血
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引用本文的文献

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Endoluminal treatment of aortic dissection.主动脉夹层的腔内治疗。
Eur Radiol. 2003 Nov;13(11):2521-34. doi: 10.1007/s00330-003-1936-2. Epub 2003 Jun 17.
2
[Postoperative compartment syndrome in a patient with acute aortic dissection (DeBakey type I)].[一名急性主动脉夹层(DeBakey I型)患者术后的骨筋膜室综合征]
Jpn J Thorac Cardiovasc Surg. 1998 Nov;46(11):1162-7. doi: 10.1007/BF03217894.

本文引用的文献

1
Aortic dissection manifested as leg ischemia.
AJR Am J Roentgenol. 1980 Aug;135(2):353-6. doi: 10.2214/ajr.135.2.353.
2
Dissecting hematoma presents as acute lower limb ischemia: diagnostic patient profile and management.夹层血肿表现为急性下肢缺血:患者诊断特征及治疗
J Cardiovasc Surg (Torino). 1983 Nov-Dec;24(6):649-53.
3
Independent determinants of operative mortality for patients with aortic dissections.主动脉夹层患者手术死亡率的独立决定因素。
Circulation. 1984 Sep;70(3 Pt 2):I153-64.
4
Relief of mesenteric ischemia in type III aortic dissection with percutaneous fenestration of the aortic septum.经皮穿刺主动脉隔膜开窗术缓解Ⅲ型主动脉夹层肠系膜缺血
Radiology. 1990 Feb;174(2):450-2. doi: 10.1148/radiology.174.2.2136956.