采用组织型纤溶酶原激活剂（t-PA）动力脉冲喷雾溶栓切除术治疗急性肾动脉血栓形成。
Acute renal artery thrombosis treated with t-PA power-pulse spray rheolytic thrombectomy.
作者信息
Syed Mubin I, Shaikh Azim, Ullah Ahsan, Akhter Talal Syed, Ranginwala Saad, Mohammed Mutahher Ibraze, Misick Lofton
机构信息
Dayton Interventional Radiology, Dayton, OH, USA.
出版信息
Cardiovasc Revasc Med. 2010 Oct-Dec;11(4):264.e1-7. doi: 10.1016/j.carrev.2009.11.002.
PURPOSE
To describe a new application of tissue plasminogen activator (t-PA) power-pulse spray rheolytic (pharmacomechanical) thrombectomy in the treatment of acute renal artery thrombosis.
CASE REPORT
Acute renal artery thrombosis is a relatively rare, but serious condition in which it is imperative to restore perfusion as quickly as possible. Percutaneous pharmacomechanical thrombectomy technique was utilized to provide an effective means of restoring renal flow and function. We therefore present two unique cases of spontaneous and iatrogenic renal artery thromboses that were treated successfully with t-PA power-pulse spray rheolytic thrombectomy.
CONCLUSION
t-PA Power-pulse spray rheolytic (pharmacomechanical) thrombectomy has the potential to be a useful means to restore perfusion and function in the setting of acute renal artery thrombosis.
目的
描述组织型纤溶酶原激活剂（t-PA）动力脉冲喷雾溶血栓（药物机械性）血栓切除术在急性肾动脉血栓形成治疗中的一种新应用。
病例报告
急性肾动脉血栓形成是一种相对罕见但严重的病症，尽快恢复灌注至关重要。采用经皮药物机械性血栓切除术来提供恢复肾血流和功能的有效手段。因此，我们展示了两例分别为自发性和医源性肾动脉血栓形成的独特病例，它们通过t-PA动力脉冲喷雾溶血栓切除术成功得到治疗。
结论
t-PA动力脉冲喷雾溶血栓（药物机械性）血栓切除术有可能成为在急性肾动脉血栓形成情况下恢复灌注和功能的有用手段。
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