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腔内支架置入术治疗罕见的多发性自发性内脏动脉夹层

Endovascular Stenting in a Rare Case of Multiple Spontaneous Visceral Arterial Dissections.

机构信息

Icahn School of Medicine, 5944Mount Sinai West Hospital, New York, NY, USA.

Icahn School of Medicine, 5944Mount Sinai Hospital, New York, NY, USA.

出版信息

Vasc Endovascular Surg. 2021 Apr;55(3):269-272. doi: 10.1177/1538574420954574. Epub 2020 Sep 10.

Abstract

Spontaneous dissection of abdominal aortic branches is rare. Prior reports discuss incidents of isolated renal artery dissections and isolated splanchnic artery dissections; however, these types of dissections almost never occur simultaneously. Based on literature review, only one other case report has described spontaneous dissections of multiple visceral arteries. This brief report presents the successful endovascular treatment of a previously healthy man with spontaneous dissection of the proximal celiac artery and bilateral renal arteries. Due to the patient's acute presentation and renal injury, stenting of bilateral renal arteries was undertaken with successful medical outcomes on postprocedural follow up.

摘要

内脏动脉自发性夹层较为罕见。既往文献报道孤立性肾动脉夹层和孤立性内脏动脉夹层,但这些类型的夹层几乎不会同时发生。根据文献复习,仅有另一份病例报告描述了多支内脏动脉自发性夹层。本病例报告介绍了一例先前健康的患者,其近端腹腔动脉和双侧肾动脉自发性夹层,成功实施了血管内治疗。由于患者表现为急性发病且伴有肾功能损伤,对双侧肾动脉进行了支架置入术,术后随访结果良好。

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