经双侧股动脉穿刺导管溶栓及血栓抽吸治疗鞍状栓塞：一例报告
Saddle embolism treated by thrombolysis and thrombus aspiration via bilateral femoral artery puncture catheter: A case report.
作者信息
Min Jie, Zhang Guangqiang
机构信息
Department of Radiology, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
出版信息
Medicine (Baltimore). 2018 Mar;97(13):e0212. doi: 10.1097/MD.0000000000010212.
INTRODUCTION
Abdominal aortic saddle embolism is a rare and severe disease with the manifestation of abrupt onset, rapid progression and high mortality. Endovascular therapy becomes a new option for this disease due to its minor trauma, less complications, no requirement for general anesthesia or abdominal incisions, and shorter hospitalization duration.
METHODS
A 50-year-old female was diagnosed as abdominal aortic saddle embolism, and thrombus aspiration was given immediately via bilateral femoral artery puncture catheter along with artery indwelling catheter thrombolysis.
RESULTS
The saddle embolism was removed completely. After 1-month follow-up, the computed tomography angiography (CTA) examination showed neither stenosis nor thrombus in the abdominal aorta and iliac artery. The patient achieved perfect outcome.
CONCLUSIONS
Endovascular therapy may be an optional solution for saddle embolism.
引言
腹主动脉骑跨栓塞是一种罕见的严重疾病，具有起病急、进展快、死亡率高的特点。血管内治疗因其创伤小、并发症少、无需全身麻醉或腹部切口以及住院时间短，成为该疾病的一种新选择。
方法
一名50岁女性被诊断为腹主动脉骑跨栓塞，立即通过双侧股动脉穿刺导管进行血栓抽吸，并留置动脉导管溶栓。
结果
骑跨栓塞完全清除。随访1个月后，计算机断层血管造影（CTA）检查显示腹主动脉和髂动脉无狭窄及血栓形成。患者获得了良好的治疗效果。
结论
血管内治疗可能是骑跨栓塞的一种可选治疗方案。
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