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经桡动脉途径成功进行急性创伤后肠系膜上动脉夹层的经皮血管腔内治疗。

Successful percutaneous endovascular management of acute post-traumatic superior mesenteric artery dissection using a transradial approach.

作者信息

Patel Tejas, Kuladhipati Indra, Shah Sanjay

机构信息

Total Cardiovascular Solutions Private Limited, Ahmedabad, India.

出版信息

J Invasive Cardiol. 2010 Apr;22(4):E61-4.

Abstract

Acute aortic dissection extending into the superior mesenteric artery (SMA) following a blunt trauma is an extremely rare complication. We report a case of acute post-traumatic SMA dissection presented with an acute abdominal syndrome. Computed tomographic angiography and arteriography allowed a rapid diagnosis and urgent percutaneous endovascular intervention through transradial route. This approach saved a major surgical intervention and related morbidity.

摘要

钝性创伤后急性主动脉夹层延伸至肠系膜上动脉(SMA)是一种极其罕见的并发症。我们报告一例急性创伤后SMA夹层病例,该病例表现为急性腹部综合征。计算机断层血管造影和动脉造影有助于快速诊断,并通过经桡动脉途径进行紧急经皮血管腔内介入治疗。这种方法避免了一次大型手术干预及其相关的发病率。

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