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肠系膜上动脉壁内剥离。肾动脉球囊扩张术的一种并发症。

Intramural dissection of superior mesenteric artery. A complication of attempted renal artery balloon dilation.

作者信息

Perry M O

出版信息

J Vasc Surg. 1985 May;2(3):480-4.

PMID:3158753
Abstract

A patient with a right renal artery stenosis and renovascular hypertension was admitted for balloon dilation of the stenotic artery. During the procedure the catheter entered the superior mesenteric artery and caused a mural dissection and occlusion, which was successfully treated by endarterectomy and vein patch angioplasty. Delayed ischemia of the transverse colon required resection and colostomy, but the patient recovered fully after colostomy closure and cholecystectomy were performed.

摘要

一名患有右肾动脉狭窄和肾血管性高血压的患者因狭窄动脉的球囊扩张术入院。手术过程中,导管进入肠系膜上动脉,导致壁层剥离和闭塞,通过动脉内膜切除术和静脉补片血管成形术成功治疗。横结肠的延迟性缺血需要进行切除和结肠造口术,但患者在结肠造口关闭和胆囊切除术后完全康复。

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