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锁骨下动脉狭窄导致腋股动脉搭桥窃血

Axillo-femoral bypass steal due to subclavian artery stenosis.

作者信息

Shigyo Hideya, Kawarada Osami, Noguchi Teruo, Ogawa Hisao, Yasuda Satoshi

机构信息

Department of Cardiovascular Medicine, National Cerebral and Cardiovascular Center, 5-7-1 Fujishiro-dai, Suita, Osaka, 565-8565, Japan.

出版信息

Heart Vessels. 2016 Nov;31(11):1886-1888. doi: 10.1007/s00380-016-0821-2. Epub 2016 Mar 5.

DOI:10.1007/s00380-016-0821-2
PMID:26945870
Abstract

Subclavian artery stenosis can cause a flow reversal-so-called steal-not only in the ipsilateral vertebral artery, but also in the internal mammary artery in patients with a history of coronary-artery bypass grafting. Subclavian artery stenosis is also associated with peripheral artery disease elsewhere. We report a novel finding of axillo-femoral bypass steal due to subclavian artery stenosis identified by vascular ultrasonography.

摘要

锁骨下动脉狭窄不仅可导致同侧椎动脉出现血流逆转,即所谓的盗血现象,对于有冠状动脉旁路移植术病史的患者,还可导致胸廓内动脉出现盗血现象。锁骨下动脉狭窄还与其他部位的外周动脉疾病相关。我们报告了一例通过血管超声检查发现的因锁骨下动脉狭窄导致腋-股旁路盗血的新病例。

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1
Axillo-femoral bypass steal due to subclavian artery stenosis.锁骨下动脉狭窄导致腋股动脉搭桥窃血
Heart Vessels. 2016 Nov;31(11):1886-1888. doi: 10.1007/s00380-016-0821-2. Epub 2016 Mar 5.
2
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[Evaluation of neurosonography for a case of brainstem transient ischemic attack (TIA) due to proximal subclavian artery stenosis, with favorable outcome after axillo-axillary bypass grafting].[近端锁骨下动脉狭窄致脑干短暂性脑缺血发作(TIA)病例的神经超声评估,腋-腋旁路移植术后预后良好]
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Usefulness of femoro(ilio)-axillar bypass surgery for the treatment of subclavian steal syndrome caused by aortitis syndrome.股(髂)-腋动脉搭桥手术治疗大动脉炎综合征所致锁骨下动脉盗血综合征的有效性
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Use of a temporary shunt to preserve the patency of a hemodialysis graft while performing ipsilateral axillo-femoral bypass.在进行同侧腋-股旁路手术时使用临时分流管以保持血液透析移植物的通畅。
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[Axillo-axillary bypass for coronary-subclavian steal syndrome].[腋-腋旁路手术治疗冠状动脉-锁骨下动脉窃血综合征]
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[Coronary subclavian steal syndrome; report of a case].
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本文引用的文献

1
Partially anaortic clampless off-pump coronary artery bypass prevents neurologic injury compared to on-pump coronary surgery: a propensity score-matched study on 286 patients.与体外循环冠状动脉手术相比,部分主动脉无钳夹非体外循环冠状动脉搭桥术可预防神经损伤:一项对286例患者的倾向评分匹配研究。
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Comparing mortality between coronary artery bypass grafting and percutaneous coronary intervention with drug-eluting stents in elderly with diabetes and multivessel coronary disease.比较老年糖尿病合并多支冠状动脉疾病患者冠状动脉旁路移植术与药物洗脱支架经皮冠状动脉介入治疗后的死亡率。
Heart Vessels. 2016 Sep;31(9):1424-9. doi: 10.1007/s00380-015-0746-1. Epub 2015 Sep 28.
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Subclavian steal syndrome.锁骨下动脉盗血综合征。
Circulation. 2014 Jun 3;129(22):2320-3. doi: 10.1161/CIRCULATIONAHA.113.006653.
4
Descending aorta-external iliac artery bypass for middle aortic syndrome.降主动脉-髂外动脉旁路移植术治疗中段主动脉综合征
Heart Vessels. 2014 Nov;29(6):864-6. doi: 10.1007/s00380-013-0441-z. Epub 2013 Nov 26.
5
Long-term results of primary stenting for subclavian artery disease.锁骨下动脉疾病的初次支架置入的长期结果。
Catheter Cardiovasc Interv. 2013 Nov 1;82(5):696-700. doi: 10.1002/ccd.24916. Epub 2013 Apr 8.
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Vasc Med. 2011 Feb;16(1):29-34. doi: 10.1177/1358863X10384174. Epub 2010 Nov 15.
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Non-invasive diagnosis of coronary-subclavian steal: role of the Doppler ultrasound.
Eur J Echocardiogr. 2010 Oct;11(9):E34. doi: 10.1093/ejechocard/jeq068. Epub 2010 May 22.
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The outcome of the axillofemoral bypass: a retrospective analysis of 45 patients.腋股旁路移植术的结果:45 例患者的回顾性分析。
World J Surg. 2009 Nov;33(11):2490-6. doi: 10.1007/s00268-009-0189-x.
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Atypical ischemic lower extremity ulcerations: a differential diagnosis.
Vasc Med. 2008 Feb;13(1):47-54. doi: 10.1177/1358863X07084729.
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Atheromatous embolization.动脉粥样硬化栓塞
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