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对于有臀肌间歇性跛行的患者，采用血管内血运重建术治疗孤立性髂内动脉症状性闭塞性动脉粥样硬化疾病是一种可行但未得到充分利用的选择。

Endovascular revascularization of isolated internal iliac artery for symptomatic occlusive atherosclerotic disease is a viable and underused option for patients with gluteal muscle claudication.

作者信息

Manunga Jesse, Peret Anthony, Moore Brian H, Skeik Nedaa

机构信息

Section of Vascular and Endovascular Surgery, Minneapolis Heart Institute at Abbott Northwestern Hospital, Minneapolis, MN.

Minneapolis Heart Institute Foundation, Minneapolis, MN.

出版信息

J Vasc Surg Cases Innov Tech. 2023 Feb 17;9(2):101090. doi: 10.1016/j.jvscit.2022.101090. eCollection 2023 Jun.

DOI:10.1016/j.jvscit.2022.101090
PMID:36992706
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10041555/
Abstract

Often confused with pseudoclaudication, gluteal muscle claudication is a difficult condition to diagnose and treat. We present the case of a 67-year-old man with a history of back and buttock claudication. He had undergone lumbosacral decompression with no relief of buttock claudication. Computed tomography angiography of the abdomen and pelvis showed occlusion of the bilateral internal iliac arteries. Exercise transcutaneous oxygen pressure measurements obtained on referral to our institution revealed a significant decrease. He underwent successful recanalization and stenting of the bilateral hypogastric arteries with complete resolution of his symptoms. We also reviewed the reported data to highlight the trend in the management of patients with this condition.

摘要

臀肌间歇性跛行常与假性间歇性跛行相混淆，是一种难以诊断和治疗的疾病。我们报告一例67岁男性患者，有腰背部和臀部间歇性跛行病史。他曾接受过腰骶部减压手术，但臀部间歇性跛行症状并未缓解。腹部和盆腔计算机断层扫描血管造影显示双侧髂内动脉闭塞。转诊至我院后进行的运动经皮氧分压测量结果显示明显下降。他接受了双侧髂内动脉成功的再通和支架置入术，症状完全缓解。我们还回顾了已报道的数据，以突出这种疾病患者的治疗趋势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb9/10041555/18e64e247d7e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb9/10041555/e8c73aeb237a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb9/10041555/edc3a8409869/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb9/10041555/25021b36b07d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb9/10041555/18e64e247d7e/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb9/10041555/e8c73aeb237a/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb9/10041555/edc3a8409869/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb9/10041555/25021b36b07d/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1bb9/10041555/18e64e247d7e/gr4.jpg

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Endovascular revascularization of isolated internal iliac artery for symptomatic occlusive atherosclerotic disease is a viable and underused option for patients with gluteal muscle claudication.对于有臀肌间歇性跛行的患者，采用血管内血运重建术治疗孤立性髂内动脉症状性闭塞性动脉粥样硬化疾病是一种可行但未得到充分利用的选择。
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本文引用的文献

1
Investigation of arterial claudication with transcutaneous oxygen pressure at exercise: Interests and limits.运动时经皮氧分压检测对跛行动脉的研究：意义和局限性。
Trends Cardiovasc Med. 2021 May;31(4):218-223. doi: 10.1016/j.tcm.2020.03.003. Epub 2020 Mar 14.
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Endovascular treatment of patients with bilateral internal iliac artery disease and buttock claudication.双侧髂内动脉疾病伴臀部间歇性跛行患者的血管内治疗
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Functional outcome of hypogastric revascularisation for prevention of buttock claudication in patients with peripheral artery occlusive disease.
用于预防外周动脉阻塞性疾病患者臀部跛行的腹下动脉血运重建的功能结果。
Eur J Vasc Endovasc Surg. 2010 Mar;39(3):323-9. doi: 10.1016/j.ejvs.2009.10.009. Epub 2009 Nov 11.
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Endovascular treatment of internal iliac artery obstructive disease.髂内动脉阻塞性疾病的血管内治疗
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Percutaneous intervention for chronic total occlusion of the internal iliac artery for unrelenting buttock claudication.经皮介入治疗髂内动脉慢性完全闭塞以缓解顽固性臀部间歇性跛行
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Buttock claudication and erectile dysfunction after internal iliac artery embolization in patients prior to endovascular aortic aneurysm repair.血管内腹主动脉瘤修复术前患者髂内动脉栓塞后出现臀部间歇性跛行和勃起功能障碍。
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Clinical practice. Osteoarthritis of the hip.临床实践。髋关节骨关节炎
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