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采用开放手术与血管腔内治疗相结合的方法治疗一名肥胖患者的持续性坐骨动脉瘤。

A combined open and endovascular approach to treat a persistent sciatic artery aneurysm in an obese patient.

作者信息

Malik Mahim, Fischer Peter, Khandekar Alim

机构信息

Health Science Center, Univeristy of Tennessee, Memphis, Tennessee, USA.

出版信息

Ann Vasc Dis. 2011;4(2):165-7. doi: 10.3400/avd.cr.10.00008. Epub 2011 Jun 2.

Abstract

Persistent sciatic artery is a relatively uncommon peripheral vascular malformation of the lower extremity arterial blood supply that is often misdiagnosed. We present a case report of a 52-year-old, obese female who presented to our center with symptoms of lower extremity ischemia. We describe a novel approach combining open and endovascular techniques for the treatment of a persistent sciatic artery aneurysm, providing maximal benefit, while minimizing potential complications due to her co-morbidities.

摘要

永存坐骨动脉是一种相对罕见的下肢动脉血供周围血管畸形,常被误诊。我们报告一例52岁肥胖女性患者,她因下肢缺血症状前来我院就诊。我们描述了一种将开放手术和血管腔内技术相结合的新颖方法,用于治疗永存坐骨动脉动脉瘤,该方法在使患者受益最大化的同时,将因其合并症导致的潜在并发症降至最低。

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本文引用的文献

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Diagnostic strategies for the persistent sciatic artery.持续性坐骨动脉的诊断策略。
Vasc Endovascular Surg. 2009 Oct-Nov;43(5):485-9. doi: 10.1177/1538574409339359. Epub 2009 Jul 29.
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Endovascular stenting of a persistent sciatic artery aneurysm via retrograde popliteal approach: a durable option.
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Exclusion of a sciatic artery aneurysm and an obturator bypass.
J Vasc Surg. 1997 Oct;26(4):697-9. doi: 10.1016/s0741-5214(97)70072-7.

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