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持续性坐骨动脉瘤的血管内支架移植物修复术

Endovascular Stent-Graft Repair of a Persistent Sciatic Artery Aneurysm.

作者信息

Fukuda Hayato, Onitsuka Seiji, Yoshida Shohei, Hirata Yuichiro, Hiromatsu Shinichi, Tanaka Hiroyuki

机构信息

The Department of Surgery, Kurume University School of Medicine, Kurume, Fukuoka, Japan.

出版信息

Ann Vasc Dis. 2017 Sep 25;10(3):246-9. doi: 10.3400/avd.cr.17-00021.

Abstract

Persistent sciatic artery (PSA) is a rare anomaly that may cause various symptoms, such as aneurysm, rupture, thromboembolism, and sciatica. Direct surgery can be performed to treat PSA aneurysm (PSAA), but is associated with complications; e.g., anatomical problems such as sciatic nerve injury. Herein we report a case of a 74-year-old woman with acute limb ischemia that developed from a distal embolism caused by a thrombus in the left PSAA; favorable results were obtained for her by treatment with a stent-graft after rapid anticoagulation therapy for limb salvage.

摘要

持续性坐骨动脉(PSA)是一种罕见的异常情况,可能会引起各种症状,如动脉瘤、破裂、血栓栓塞和坐骨神经痛。可以通过直接手术治疗PSA动脉瘤(PSAA),但该手术会引发并发症,例如像坐骨神经损伤这样的解剖学问题。在此,我们报告一例74岁女性患者,其因左PSAA内血栓导致的远端栓塞而出现急性肢体缺血;在进行快速抗凝治疗以挽救肢体后,通过支架植入术对其进行治疗,取得了良好效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8894/5684154/fb30d74a7a5c/avd-10-3-cr.17-00021-figure01.jpg

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