肠坏死在慢性肠系膜缺血的血管内再血管化治疗后：病例报告及文献复习。
Bowel necrosis following endovascular revascularization for chronic mesenteric ischemia: a case report and review of the literature.
机构信息
Division of Vascular Surgery, Department of Surgery, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
出版信息
BMC Gastroenterol. 2013 Jul 19;13:118. doi: 10.1186/1471-230X-13-118.
BACKGROUND
Endovascular revascularization has recently been established as a less invasive treatment method for chronic mesenteric ischemia. However, intestinal necrosis caused by distal embolization following this procedure has not been emphasized.
CASE PRESENTATION
The present report describes a 59-year-old man who was treated with endovascular revascularization for chronic mesenteric ischemia. After the procedure, he was diagnosed with intestinal necrosis caused by distal embolization. Despite emergent bowel resection, he died on postoperative day 109.
CONCLUSION
Although endovascular revascularization for chronic mesenteric ischemia is less invasive and may be suitable for high-risk patients, attention should be paid to avoid embolic complications that can cause intestinal infarction possibly leading to a fatal condition.
背景
血管内重建术最近已被确立为治疗慢性肠系膜缺血的一种微创治疗方法。然而，该手术引起的远端栓塞导致的肠坏死尚未得到重视。
病例介绍
本报告描述了一名 59 岁男性，因慢性肠系膜缺血接受血管内重建术治疗。术后，他被诊断为远端栓塞引起的肠坏死。尽管进行了紧急肠切除术，但他还是在术后第 109 天死亡。
结论
尽管血管内重建术治疗慢性肠系膜缺血具有微创性，可能适合高危患者，但应注意避免可能导致肠梗死的栓塞并发症，这可能导致致命后果。
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