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因放射治疗导致慢性肠系膜缺血患者支架置入术后出现罕见并发症。

An unusual complication following stenting in a patient with chronic mesenteric ischaemia due to radiation therapy.

机构信息

Department of Cardiology, Hedi Chaker University Hospital, Faculty of Medicine of Sfax, University of Sfax, Tunisia.

Department of Cardiovascular Surgery, Habib Bourguiba University Hospital, Faculty of Medicine of Sfax, University of Sfax, Tunisia.

出版信息

Interact Cardiovasc Thorac Surg. 2021 Apr 19;32(4):664-665. doi: 10.1093/icvts/ivaa318.

DOI:10.1093/icvts/ivaa318
PMID:33347582
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8906737/
Abstract

The endovascular treatment is the first-line revascularization technique in chronic mesenteric ischaemia. We report a case of reperfusion haemorrhage complicating endovascular repair of severe stenosis of the superior mesenteric and coeliac arteries' anatomic variant following abdominal radiation therapy. The haemorrhage resolved spontaneously after medical management, with successful outcome.

摘要

腔内治疗是慢性肠系膜缺血的一线血运重建技术。我们报告了一例腹部放疗后严重肠系膜上动脉和腹腔动脉解剖变异的腔内修复术后再灌注出血的病例。出血经内科治疗后自发缓解,结果成功。

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本文引用的文献

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European guidelines on chronic mesenteric ischaemia - joint United European Gastroenterology, European Association for Gastroenterology, Endoscopy and Nutrition, European Society of Gastrointestinal and Abdominal Radiology, Netherlands Association of Hepatogastroenterologists, Hellenic Society of Gastroenterology, Cardiovascular and Interventional Radiological Society of Europe, and Dutch Mesenteric Ischemia Study group clinical guidelines on the diagnosis and treatment of patients with chronic mesenteric ischaemia.欧洲慢性肠系膜缺血指南 - 联合欧洲胃肠病学、欧洲胃肠病学、内镜和营养学会、欧洲胃肠道和腹部放射学会、荷兰肝胆病学会、希腊胃肠病学会、心血管和介入放射学会和荷兰肠系膜缺血研究小组的临床指南,用于诊断和治疗慢性肠系膜缺血患者。
United European Gastroenterol J. 2020 May;8(4):371-395. doi: 10.1177/2050640620916681. Epub 2020 Apr 16.
2
ANATOMICAL VARIATIONS OF THE CELIAC TRUNK: A SYSTEMATIC REVIEW.腹腔干的解剖变异:一项系统综述
Arq Bras Cir Dig. 2018 Dec 6;31(4):e1403. doi: 10.1590/0102-672020180001e1403.
3
Endovascular Versus Surgical Revascularization for Chronic Mesenteric Ischemia: Insights From the National Inpatient Sample Database.腔内与手术血管重建治疗慢性肠系膜缺血:来自国家住院患者样本数据库的见解。
JACC Cardiovasc Interv. 2017 Dec 11;10(23):2440-2447. doi: 10.1016/j.jcin.2017.09.033.
4
Reperfusion hemorrhage following superior mesenteric artery stenting.肠系膜上动脉支架置入术后再灌注出血
Cardiovasc Intervent Radiol. 2008 Jul;31 Suppl 2:S57-61. doi: 10.1007/s00270-007-9204-5. Epub 2007 Oct 23.
5
Vascular lesions following radiation.放疗后的血管病变
Pathol Annu. 1988;23 Pt 1:297-330.