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择期血管腔内主动脉瘤修复术中急性移植物闭塞的溶栓治疗。

Thrombolysis for acute graft occlusion during elective endovascular aortic aneurysm repair.

作者信息

Wohlgemut Jared M, Hennessy Martin, Hussey Keith

机构信息

Department of Vascular Surgery, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow G51 4TF, UK.

Department of Interventional Radiology, Queen Elizabeth University Hospital, 1345 Govan Road, Glasgow G51 4TF, UK.

出版信息

J Surg Case Rep. 2020 Mar 28;2020(3):rjaa056. doi: 10.1093/jscr/rjaa056. eCollection 2020 Mar.

DOI:10.1093/jscr/rjaa056
PMID:32257102
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7102870/
Abstract

A 65-year-old man developed acute arterial thrombosis with stent graft occlusion, during elective endovascular aneurysm repair, with bilateral acute lower limb ischaemia. We describe successful endovascular and pharmacological management using a combination of mechanical disruption of the thrombus (using the access sheaths) followed by intra-arterial thrombolysis (Actilyse) infusion. Within 4-h the endograft had completely re-canalized. The patient made an uncomplicated recovery and was discharged on the second post-operative day.

摘要

一名65岁男性在择期血管内动脉瘤修复术中发生急性动脉血栓形成伴支架移植物闭塞，出现双侧急性下肢缺血。我们描述了一种成功的血管内和药物治疗方法，即先使用接入鞘对血栓进行机械性破坏，然后进行动脉内溶栓（阿替普酶）输注。4小时内，血管内移植物完全再通。患者恢复顺利，术后第二天出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94c/7102870/2c9bb0d5abd3/rjaa056f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94c/7102870/e5795c19a11e/rjaa056f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94c/7102870/9fca767ab792/rjaa056f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94c/7102870/52d92c20ec14/rjaa056f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94c/7102870/2c9bb0d5abd3/rjaa056f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94c/7102870/e5795c19a11e/rjaa056f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94c/7102870/9fca767ab792/rjaa056f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94c/7102870/52d92c20ec14/rjaa056f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d94c/7102870/2c9bb0d5abd3/rjaa056f4.jpg

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