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降主动脉-双股动脉搭桥术:高危患者的一种安全替代方案。

Descending thoracic aorto-bifemoral bypass graft: a safe alternative in the high risk patients.

作者信息

O'Brien D P, Waldron R P, McCabe J P, Courtney D F

机构信息

University College Hospital, Galway.

出版信息

Ir Med J. 1991 Jun;84(2):58-9.

PMID:1832665
Abstract

A fifty-nine year old male presented with disabling intermittent claudication. A Translumbar Aortogram was performed showing ".....total occlusion of the abdominal aorta just distal to the level of the renal arteries". As a direct result of this invasive radiological procedure, he subsequently developed acute pancreatitis and a pancreatic abscess necessitating open surgical drainage. Re-vascularisation of his aortic occlusion was deferred for fifteen months when a Descending Thoracic Aorta Bifemoral (DTAB) bypass was performed--thus avoiding the insertion of foreign, sterile, arterial prosthesis in a previously infect abdominal cavity.

摘要

一名59岁男性因间歇性跛行严重而前来就诊。进行了经腰主动脉造影,结果显示“……肾动脉水平以下的腹主动脉完全闭塞”。由于这项侵入性放射学检查,他随后患上了急性胰腺炎和胰腺脓肿,需要进行开放手术引流。其主动脉闭塞的血管重建推迟了15个月,之后进行了降主动脉双股动脉(DTAB)搭桥手术——从而避免了在先前感染的腹腔内植入异体无菌动脉假体。

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Descending thoracic aorto-bifemoral bypass graft: a safe alternative in the high risk patients.降主动脉-双股动脉搭桥术:高危患者的一种安全替代方案。
Ir Med J. 1991 Jun;84(2):58-9.
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Management of inflammatory aneurysm of the infrarenal aorta using retroperitoneal exposure, open aneurysmorrhaphy and descending aorta-to-femoral artery bypass.采用腹膜后入路、开放性动脉瘤缝合术及降主动脉-股动脉旁路移植术治疗肾下腹主动脉炎性动脉瘤
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[Extra-anatomic thoraco-bifemoral bypass: an excellent alternative to in-situ reconstruction for repeat revascularization of the lower limbs].
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Severe obstructive calcifications affecting the descending and suprarenal abdominal aorta without coexisting peripheral atherosclerotic disease--coral reef aorta.严重阻塞性钙化累及降主动脉和肾上腺区腹主动脉,无并存的外周动脉粥样硬化疾病——珊瑚礁主动脉。
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