Natali J, Jue Denis P, Kieffer E, Merland J J
Service de Chirurgie vasculaire, Hôpital de la Salpétrière, Paris.
J Mal Vasc. 1989;14(3):183-9.
The authors define the "throbbing buttocks syndrome" which can in fact correspond to different pathological entities: aneurysm of the persistent sciatic artery and/or congenital or traumatic arteriovenous fistula of the hypogastric and gluteal vessels. Seven cases are reported: 1 case of aneurysm of the persistent sciatic artery complicated by truncal embolism and fissuring which was treated successfully by occlusive endoaneurysmorrhaphy; and 6 cases of arteriovenous fistulas (1 traumatic and 5 congenital). In all cases of arteriovenous fistula the technique used involved initial embolization which was complicated by anterior ligature of the hypogastric artery and then by excision of the malformation which was extremely hemorrhagic in some cases. Out of these 6 cases, results have been satisfactory for 5 and incomplete for the remaining one.
作者定义了“臀部搏动综合征”，其实际上可能对应不同的病理实体：坐骨动脉持续存在的动脉瘤和/或腹下及臀血管的先天性或创伤性动静脉瘘。报告了7例病例：1例坐骨动脉持续存在的动脉瘤并发主干栓塞和破裂，通过闭塞性动脉瘤缝扎术成功治疗；6例动静脉瘘（1例创伤性，5例先天性）。在所有动静脉瘘病例中，所采用的技术包括初始栓塞，其并发症为腹下动脉前结扎，随后为畸形切除，在某些病例中出血极其严重。在这6例病例中，5例结果令人满意，其余1例结果不完全理想。
