Halpin D P, Moran K T, Jewell E R
Section of Peripheral Vascular Surgery, Lahey Clinic Medical Center, Burlington, Massachusetts 01805.
Ann Vasc Surg. 1988 Oct;2(4):381-4. doi: 10.1016/S0890-5096(06)60821-2.
Patients with severe ischemic symptoms that fail to respond to steroid therapy, despite a dramatic and continuous drop in the erythrocyte sedimentation rate, may require arterial bypass surgery to overcome arterial ischemia caused by arteritis. We report the case of a patient with bilateral subclavian artery occlusion secondary to giant cell arteritis who responded well to steroid therapy and arterial reconstructive surgery. The patient has remained well for five years.
尽管红细胞沉降率急剧持续下降，但严重缺血症状对类固醇治疗无反应的患者，可能需要进行动脉搭桥手术来克服动脉炎引起的动脉缺血。我们报告一例继发于巨细胞动脉炎的双侧锁骨下动脉闭塞患者，该患者对类固醇治疗和动脉重建手术反应良好。该患者已健康存活五年。
