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下肢搭桥移植血管闭塞溶栓治疗后股部筋膜室综合征

Thigh Compartment Syndrome After Thrombolytic Therapy of an Occluded Lower Extremity Bypass Graft.

作者信息

Singh Kuldeep, Ruan Qing Zhao, Schor Jonathan, Lachhar Garry, Saha Sumit, Deitch Jonathan

机构信息

Division of Vascular and Endovascular Surgery, 7601Staten Island University Hospital Northwell Health, Staten Island, NY, USA.

465154Zucker School of Medicine, Hofstra/Northwell, Garden City, NY, USA.

出版信息

Vasc Endovascular Surg. 2020 Nov;54(8):752-755. doi: 10.1177/1538574420947855. Epub 2020 Aug 12.

Abstract

Compartment syndrome is caused by increased pressure within fascial compartment. We present a unique case of a thigh compartment syndrome that occurred after overnight catheter delivered Tissue plasminogen activator (tPA) thrombolysis of an acutely thrombosis femoral-to above knee popliteal artery Propaten PTFE (WL Gore & Associates, Flagstaff, AZ) bypass graft. The condition was treated by emergency fasciotomy and the patient recovered uneventfully.

摘要

骨筋膜室综合征是由筋膜室内压力升高引起的。我们报告了一例独特的大腿骨筋膜室综合征病例,该病例发生在经导管 overnight 给予组织型纤溶酶原激活剂(tPA)对急性血栓形成的股动脉至膝上腘动脉的 Propaten PTFE(WL Gore & Associates,弗拉格斯塔夫,亚利桑那州)旁路移植物进行溶栓治疗之后。该病症通过急诊筋膜切开术进行治疗,患者顺利康复。

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