逆行开放肠系膜支架置入术治疗急性肠系膜缺血是紧急血运重建的一种可行替代方法。
Retrograde open mesenteric stenting for acute mesenteric ischemia is a viable alternative for emergent revascularization.
作者信息
Stout Christopher L, Messerschmidt Cory A, Leake Andrew E, Veale William N, Stokes Gordon K, Panneton Jean M
机构信息
Division of Vascular Surgery, Eastern Virginia Medical School, Norfolk, VA, USA.
出版信息
Vasc Endovascular Surg. 2010 Jul;44(5):368-71. doi: 10.1177/1538574410369568. Epub 2010 May 18.
OBJECTIVES
Significant comorbidities and an exhausted physiologic reserve lead to high mortality rates during operations for acute mesenteric ischemia. We present our experience with retrograde open mesenteric stenting.
METHODS/RESULTS: A total of 3 female patients (mean age = 74.1 years) with acute mesenteric ischemia underwent exploratory laparotomy. Operative technique included isolating the superior mesenteric artery for cannulation and retrograde endovascular angioplasty and stenting. One required small bowel resection. All 3 patients survived. Mean follow-up was 8.4 months (range: 1.2-16.6). All remain with a 100% primary patency rate.
CONCLUSION
Retrograde open mesenteric stenting for acute mesenteric ischemia is a viable alternative to bypass.
目的
严重的合并症和衰竭的生理储备导致急性肠系膜缺血手术期间的高死亡率。我们介绍我们逆行开放肠系膜支架置入术的经验。
方法/结果：3例急性肠系膜缺血女性患者（平均年龄 = 74.1岁）接受了剖腹探查术。手术技术包括分离肠系膜上动脉以进行插管以及逆行血管腔内血管成形术和支架置入术。1例需要进行小肠切除术。所有3例患者均存活。平均随访8.4个月（范围：1.2 - 16.6个月）。所有患者的原发通畅率均保持100%。
结论
逆行开放肠系膜支架置入术治疗急性肠系膜缺血是旁路手术的可行替代方案。
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