Robles-Martín María L, Reyes-Ortega Juan P, Rodríguez-Morata Alejandro
1 Department of Angiology and Vascular Surgery, Quirónsalud Málaga Hospital, Málaga, Spain.
Vasc Endovascular Surg. 2019 Jul;53(5):424-428. doi: 10.1177/1538574419839547. Epub 2019 Apr 14.
Endovascular treatment of chronic mesenteric ischemia is currently the treatment of choice, regardless of the number of involved vessels. Unlike other anatomic areas, the hyperperfusion produced by revascularization and the consecutive reperfusion syndrome is only described in cases of acute bowel ischemia, which is usually resolved with traditional surgery. We present a case of severe hyperperfusion syndrome secondary to endovascular correction with stents of a critical ischemia affecting the celiac trunk and superior mesenteric artery.
目前，无论受累血管的数量如何，血管内治疗慢性肠系膜缺血都是首选的治疗方法。与其他解剖区域不同，血管重建所产生的高灌注以及随之而来的再灌注综合征仅在急性肠缺血病例中有所描述，而急性肠缺血通常通过传统手术解决。我们报告了一例因对影响腹腔干和肠系膜上动脉的严重缺血进行血管内支架矫正而继发严重高灌注综合征的病例。
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