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覆膜支架腔内治疗闭合性创伤性腹主动脉闭塞

Endovascular treatment of blunt traumatic abdominal aortic occlusion with kissing stent placement.

机构信息

Department of Radiology and Center for Endovascular Therapy, Kobe University Hospital, Kobe, Japan.

出版信息

Cardiovasc Intervent Radiol. 2012 Oct;35(5):1216-20. doi: 10.1007/s00270-011-0315-7. Epub 2011 Dec 9.

Abstract

Blunt traumatic abdominal aortic dissection is extremely rare and potentially deadly. We present the case of a 62-year-old man involved in a frontal car crash. After emergency undergoing laparotomy for bowel injuries, he was referred to our hospital due to acute ischemia of bilateral lower extremities on day 3 after the trauma. Computed tomography and aortography showed an aortobiiliac dissection with complete occlusion. This injury was successfully treated by endovascular treatment with "kissing"-technique stent placement, which appears to be a safe, effective, and minimally invasive treatment.

摘要

钝性创伤性腹主动脉夹层极为罕见,但可能致命。我们报告了一例 62 岁男性因正面车祸导致的病例。患者因肠损伤行紧急剖腹手术后,于创伤后第 3 天因双侧下肢急性缺血转入我院。计算机断层扫描和主动脉造影显示主动脉骼动脉夹层伴完全闭塞。该损伤通过“亲吻”技术支架置入的血管内治疗成功治愈,这似乎是一种安全、有效和微创的治疗方法。

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