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导管溶栓联合导管血栓切除术及主动脉分叉血管内支架重建术治疗主动脉及髂动脉闭塞症

Treatment of Aortic and Iliac Artery Occlusion by Catheter Thrombolysis Combined with Catheter Thrombectomy and Aortic Bifurcation Endovascular Stent Reconstruction.

作者信息

Zhao Xinyu, Liu Delang, Yu Chaowen, Sun Yong, Chen Shiyuan

机构信息

Department of Vascular Surgery, First Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui Province, China.

出版信息

Case Rep Vasc Med. 2021 Nov 17;2021:6084226. doi: 10.1155/2021/6084226. eCollection 2021.

DOI:10.1155/2021/6084226
PMID:34840852
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8612803/
Abstract

Aortoiliac occlusive disease (AIOD) is an occlusive disease of the infrarenal aorta and iliac arteries usually caused by stenosis or occlusion at the end of the abdominal aorta-common iliac artery. Herein, we reported a case of Trans-Atlantic Inter-Society Consensus- (TASC-) D AIOD with pale, cool, and intangible dorsalis pedis artery treated with catheter thrombolysis combined with catheter thrombectomy and aortic bifurcation endovascular stent reconstruction, which proved to be safe, effective, and minimally invasive approach. In the present paper, we discussed the physical and imaging manifestations, as well as treatments.

摘要

主髂动脉闭塞性疾病(AIOD)是一种肾下腹主动脉和髂动脉的闭塞性疾病,通常由腹主动脉-髂总动脉末端的狭窄或闭塞引起。在此,我们报告了一例经导管溶栓联合导管血栓切除术及主动脉分叉处血管内支架重建术治疗的跨大西洋跨学会共识(TASC)-D型AIOD病例,该患者足背动脉苍白、发凉且触不可及,结果证明这种方法安全、有效且微创。在本文中,我们讨论了其体格检查和影像学表现以及治疗方法。

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Case Rep Vasc Med. 2021 Nov 17;2021:6084226. doi: 10.1155/2021/6084226. eCollection 2021.
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本文引用的文献

1
Outcomes of Total Aortoiliac Revascularization for TASC-II C&D Lesion with Kissing Self-Expanding Covered Stents.使用吻接式自膨式覆膜支架治疗TASC-II C&D型病变的全主动脉髂动脉血管重建术的疗效
Ann Vasc Surg. 2020 Oct;68:434-441. doi: 10.1016/j.avsg.2020.04.055. Epub 2020 May 16.
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Rivaroxaban in Peripheral Artery Disease after Revascularization.利伐沙班治疗血管重建术后外周动脉疾病
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National and subnational estimation of the prevalence of peripheral artery disease (PAD) in China: a systematic review and meta-analysis.
中国外周动脉疾病(PAD)患病率的国家和次国家估计:系统评价和荟萃分析。
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Comparison of midterm outcomes between surgical treatment and endovascular reconstruction for chronic infrarenal aortoiliac occlusion.慢性肾下腹主动脉-髂动脉闭塞症手术治疗与血管腔内重建术的中期疗效比较。
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Comparison of global estimates of prevalence and risk factors for peripheral artery disease in 2000 and 2010: a systematic review and analysis.2000 年和 2010 年全球外周动脉疾病患病率和危险因素的估计值比较:系统评价和分析。
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2011 ACCF/AHA focused update of the guideline for the management of patients with peripheral artery disease (updating the 2005 guideline).2011年美国心脏病学会基金会/美国心脏协会关于外周动脉疾病患者管理指南的重点更新(更新2005年指南)
Vasc Med. 2011 Dec;16(6):452-76. doi: 10.1177/1358863X11424312.
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A comparison of covered vs bare expandable stents for the treatment of aortoiliac occlusive disease.覆膜与裸支架在主髂动脉闭塞性疾病治疗中的比较。
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Outcomes of covered kissing stent placement compared with bare metal stent placement in the treatment of atherosclerotic occlusive disease at the aortic bifurcation.覆膜吻合法支架置入与裸金属支架置入治疗主动脉分叉处粥样硬化闭塞性病变的疗效比较。
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