Torrealba Jose Ignacio, Valdés Francisco J, Garrido Luis, Mertens Renato, Mariné Leopoldo, Bergoeing Michel, Vargas Francisco
Department of Vascular Surgery, 28033Pontificia Universidad Católica de Chile, Santiago, Chile.
Department of Cardiac Surgery, 28033Pontificia Universidad Católica de Chile, Santiago, Chile.
Vasc Endovascular Surg. 2022 May 4:15385744221098812. doi: 10.1177/15385744221098812.
Innominate artery embolism may result in upper extremity ischemia or stroke. A free-floating thrombus originating from the IA is an unusual and dangerous disorder with embolic potential. Only isolated cases have been described showing different treatment modalities.
To present 3 cases of free-floating thrombus in the IA treated at our institution with 3 different approaches.
The first case is a patient with a free-floating thrombus in the IA treated with cervical debranching and ligation of the proximal right carotid artery; another case of a patient treated with a hybrid approach with deployment of an iliac limb in the IA plus right carotid to subclavian bypass; and a third case of a patient operated by open arch thrombectomy.
Free-floating thrombus in the IA is a threatening condition feasible to be managed through different customized surgical approaches in specialized centers.
无名动脉栓塞可能导致上肢缺血或中风。源自无名动脉的游离血栓是一种罕见且危险的疾病，具有栓塞风险。仅有个别病例报道，且治疗方式各异。
介绍我院采用三种不同方法治疗的3例无名动脉游离血栓病例。
第一例是一名无名动脉游离血栓患者，采用颈部去分支及右侧颈总动脉近端结扎术治疗；另一例患者采用杂交手术方法，在无名动脉置入髂动脉肢体并进行右侧颈动脉至锁骨下动脉搭桥；第三例患者接受了开放式主动脉弓取栓术。
无名动脉游离血栓是一种威胁生命的疾病，在专业中心通过不同的定制手术方法进行治疗是可行的。
