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前肩关节脱位后腋动脉夹层的血管内治疗

Endovascular treatment of axillary artery dissection following anterior shoulder dislocation.

作者信息

Fass G, Barchiche M Reda, Lemaitre J, De Quin I, Goffin C, Bricart R, Bellens B

机构信息

Department of Vascular Pathology, Brugmann University Hospital, Free University of Brussels, Brussels, Belgium.

出版信息

Acta Chir Belg. 2008 Jan-Feb;108(1):119-21.

Abstract

Injury to the axillary artery is a rare complication of anterior shoulder dislocation. Open surgical repair is technically demanding because of the anatomical position of the vessel and the propensity for concomitant injuries. Standard surgical exposure techniques involve extensive dissection, including a combination of supraclavicular or infraclavicular incision, median sternotomy, and thoracotomy causing significant morbidity and mortality rates. Endovascular techniques may offer an alternative to these surgically demanding procedures. We present a patient with a traumatic dissection of the axillary artery following anterior shoulder dislocation who was successfully managed with an endovascular stent.

摘要

腋动脉损伤是肩关节前脱位的一种罕见并发症。由于血管的解剖位置以及合并损伤的倾向,开放手术修复在技术上要求较高。标准的手术暴露技术需要广泛的解剖,包括锁骨上或锁骨下切口、正中胸骨切开术和开胸术的联合应用,这会导致较高的发病率和死亡率。血管内技术可能为这些高难度手术提供一种替代方案。我们报告一例肩关节前脱位后腋动脉创伤性夹层的患者,该患者通过血管内支架成功治疗。

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