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双功超声在术后即刻对移植物进行监测的验证

Validation of Duplex Ultrasound Graft Surveillance in the Immediate Postoperative Period.

作者信息

Argyriou Christos, Georgiadis George S

机构信息

Department of Vascular and Endovascular Surgery, University General Hospital of Evros, "Democritus" University of Thrace, Alexandroupolis, Greece.

出版信息

Aorta (Stamford). 2019 Feb;7(1):27-28. doi: 10.1055/s-0039-1688435. Epub 2019 Jul 22.

DOI:10.1055/s-0039-1688435
PMID:31330550
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6645986/
Abstract

A femoral crossover polytetrafluoroethylene graft was performed in a patient immediately, after a failed iliac endograft limb recanalization, performed 2 years after endovascular aortic aneurysm repair. Although graft patency was confirmed clinically by palpation of groin pulses as well as noninvasively by segmental pressure measurements and Doppler examination, in the immediate postoperative period, duplex ultrasound failed to show any blood flow inside the graft lumen until the fourth postoperative day. Subcutaneous air and air tapped within the wall structure of the graft are possible explanation for the failure to show flow.

摘要

在血管内主动脉瘤修复术后2年进行的髂内移植物肢体再通失败后,立即对一名患者进行了股交叉聚四氟乙烯移植。尽管通过触诊腹股沟脉搏在临床上确认了移植物通畅,并且通过分段压力测量和多普勒检查进行了非侵入性确认,但在术后即刻,双功超声直到术后第四天才显示移植物管腔内有任何血流。皮下空气以及在移植物壁结构内抽出的空气可能是未能显示血流的原因。

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本文引用的文献

1
Reporting mid- and long-term results of endovascular grafting for abdominal aortic aneurysms using the aortomonoiliac configuration.报告采用主动脉单髂动脉构型的腹主动脉瘤血管内移植术的中长期结果。
J Vasc Surg. 2009 Jul;50(1):8-14. doi: 10.1016/j.jvs.2008.12.054.
2
Limb graft occlusion following EVAR: clinical pattern, outcomes and predictive factors of occurrence.腔内修复术后肢体移植物闭塞:临床模式、结局及发生的预测因素
Eur J Vasc Endovasc Surg. 2007 Jul;34(1):59-65. doi: 10.1016/j.ejvs.2007.01.009. Epub 2007 Apr 2.
3
Physical and mechanical properties of ePTFE stretch vascular grafts determined by time-resolved scanning acoustic microscopy.通过时间分辨扫描声学显微镜测定的膨体聚四氟乙烯拉伸血管移植物的物理和机械性能。
Eur J Vasc Endovasc Surg. 1998 May;15(5):416-22. doi: 10.1016/s1078-5884(98)80203-7.