纤维肌性发育异常患者行切割球囊血管成形术后肾动脉破裂：一例报告
Renal artery rupture following cutting balloon angioplasty for fibromuscular dysplasia: a case report.
作者信息
Brountzos Elias N, Ptohis Nikolaos, Triantafyllidi Helen, Panagiotou Irene, Spyridopoulos Themistoklis N, Misiakos Evangelos P, Kelekis Alexios
机构信息
Department of Radiology, Athens University Medical School, Attikon University Hospital, 1 Rimini St., 12462, Chaidari, Greece.
出版信息
Cases J. 2009 Sep 14;2:8881. doi: 10.1186/1757-1626-0002-0000008881.
INTRODUCTION
Angioplasty with the use of cutting balloons has been suggested by some case reports and small series for the treatment of renal artery stenoses that are resistant to conventional balloon catheters. Based on this limited experience, the use of this technology has been suggested as safe. Herein, we report a renal artery rupture following angioplasty with a cutting balloon. The complication was salvaged with a stent graft.
CASE PRESENTATION
A 30-year-old white female patient with resistant hypertension caused by a severe renal artery stenosis attributed to fibromuscular dysplasia, was submitted to conventional balloon angioplasty without success. Dilatation of the lesion with a cutting balloon resulted in arterial rupture, with concomitant retroperitoneal hematoma.
CONCLUSION
Cutting balloon angioplasty of renal artery lesions resistant to conventional balloon angioplasty should not be considered as safe as previously thought. When proceeding with such a procedure, a stent graft should be available for immediate use.
引言
一些病例报告和小样本研究表明，使用切割球囊血管成形术可治疗对传统球囊导管治疗无效的肾动脉狭窄。基于这一有限的经验，有人认为该技术的使用是安全的。在此，我们报告一例使用切割球囊血管成形术后发生肾动脉破裂的病例。该并发症通过覆膜支架得以挽救。
病例介绍
一名30岁的白人女性患者，因纤维肌发育异常导致严重肾动脉狭窄，患有顽固性高血压，接受传统球囊血管成形术但未成功。使用切割球囊扩张病变部位导致动脉破裂，并伴有腹膜后血肿。
结论
对于对传统球囊血管成形术无效的肾动脉病变，切割球囊血管成形术不应被视为如之前认为的那样安全。进行此类手术时，应准备好覆膜支架以便立即使用。
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