Androshchuk Vitaliy, Pugh Neil, Wood Andrew, Ossei-Gerning Nick
University Hospital of Wales, Cardiff, UK.
BMJ Case Rep. 2015 Apr 28;2015:bcr2015210124. doi: 10.1136/bcr-2015-210124.
Erectile dysfunction (ED) is an early marker of coronary artery disease (CAD) and often manifests before the development of symptomatic CAD. In this case report, we present a 60-year-old man with ED, who demonstrated limited response to the standard management strategies and was subsequently treated with percutaneous pelvic intervention (PPI) of the internal pudendal artery. While on the table for PPI, the patient described a classical history of angina, on which basis he underwent coronary angiography and was found to have narrow proximal left anterior descending stenosis. Coronary artery stent placement was then performed using standard techniques. PPI of pudendal artery stenoses with stents is feasible and can improve cavernosal blood flow and venous leakage as well as erectile function.
勃起功能障碍（ED）是冠状动脉疾病（CAD）的早期标志物，且常在有症状的CAD发生之前就出现。在本病例报告中，我们介绍了一名60岁患有ED的男性，他对标准治疗策略反应有限，随后接受了阴部内动脉的经皮盆腔介入治疗（PPI）。在进行PPI手术时，患者描述了典型的心绞痛病史，基于此他接受了冠状动脉造影，结果发现左前降支近端狭窄。然后使用标准技术进行了冠状动脉支架置入术。用支架对阴部动脉狭窄进行PPI是可行的，并且可以改善海绵体血流和静脉漏以及勃起功能。
