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肠系膜上动脉刺伤伴危及生命的出血——采用一种特殊技术的血管内治疗

Stab injury of the superior mesenteric artery with life threatening bleeding - endovascular treatment with an unusual technique.

作者信息

Demirel Serdar, Winter C, Rapprich B, Weigand H, Gamstätter G

机构信息

Department of Vascular and Endovascular Surgery, Ruprecht-Karls University Hospital, Heidelberg, Germany.

出版信息

Vasa. 2010 Aug;39(3):268-70. doi: 10.1024/0301-1526/a000041.

DOI:10.1024/0301-1526/a000041
PMID:20737388
Abstract

Endovascular microcoil embolization of the superior mesenteric artery (SMA) main trunk is not currently employed as a treatment for penetrating injury to the SMA in hemodynamically instable patients. Immediate laparotomy is the initial gold standard therapy. We report a case of successful SMA microcoil embolization with preservation of mesenteric perfusion by an unusual endovascular technique.

摘要

目前,对于血流动力学不稳定的患者,肠系膜上动脉(SMA)主干的血管内微线圈栓塞术尚未被用作治疗SMA穿透伤的方法。立即剖腹手术是最初的金标准治疗方法。我们报告了一例通过一种不寻常的血管内技术成功进行SMA微线圈栓塞并保留肠系膜灌注的病例。

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