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经导管选择性溶栓治疗亚急性支架移植物闭塞安全有效。

Selective thrombolysis trans-catheter for safe and effective subacute stent graft occlusion treatment.

作者信息

Duc Hung Nguyen, Hoai Lam Truong, Tuan Long Nguyen, Duc Minh Tran, Cong Linh Duong

机构信息

Tam Anh General Hospital, Hanoi, Vietnam.

出版信息

Radiol Case Rep. 2023 Jul 29;18(10):3549-3552. doi: 10.1016/j.radcr.2023.07.031. eCollection 2023 Oct.

DOI:10.1016/j.radcr.2023.07.031
PMID:37547794
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10403719/
Abstract

A 74-year-old man developed a subacute thrombosis with a stent graft occlusion, 4 months after an endovascular aneurysm repair. He presented with lateral lower limb ischemia and presented intermittent claudication. Using an intra-arterial thrombolysis transcatheter infusion and angioplasty. We report successful endovascular and medical treatment. The patient recovered without complications and was discharged.

摘要

一名74岁男性在血管内动脉瘤修复术后4个月出现亚急性血栓形成伴支架移植物闭塞。他表现为下肢外侧缺血并伴有间歇性跛行。采用动脉内溶栓经导管灌注和血管成形术治疗。我们报告了成功的血管内治疗和药物治疗。患者康复且无并发症，已出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ecc/10403719/d16f92c15e7b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ecc/10403719/636488437e6d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ecc/10403719/d16f92c15e7b/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ecc/10403719/636488437e6d/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ecc/10403719/d16f92c15e7b/gr2.jpg

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本文引用的文献

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Meta-Analysis Comparing Catheter-Directed Thrombolysis Versus Systemic Anticoagulation Alone for Submassive Pulmonary Embolism.对比导管溶栓与单纯全身抗凝治疗次大面积肺栓塞的荟萃分析
Am J Cardiol. 2022 Sep 1;178:154-162. doi: 10.1016/j.amjcard.2022.06.004. Epub 2022 Jun 29.
2
Usefulness of doppler techniques in the diagnosis of peripheral iatrogenic pseudoaneurysms secondary to minimally invasive interventional and surgical procedures: imaging findings and diagnostic performance study.多普勒技术在微创介入和手术治疗后外周医源性假性动脉瘤诊断中的应用：影像学表现和诊断性能研究。
J Ultrasound. 2020 Dec;23(4):563-573. doi: 10.1007/s40477-020-00475-6. Epub 2020 May 20.
3
Can thrombus age guide thrombolytic therapy?
血栓的形成时间能否指导溶栓治疗？
Cardiovasc Diagn Ther. 2017 Dec;7(Suppl 3):S186-S196. doi: 10.21037/cdt.2017.11.05.
4
Systemic or local thrombolysis in high-risk pulmonary embolism.高危肺栓塞的全身或局部溶栓治疗。
Cardiol J. 2015;22(4):467-74. doi: 10.5603/CJ.a2014.0103. Epub 2015 Jan 7.
5
Late abdominal aortic endograft explants: indications and outcomes.晚期腹主动脉内移植物取出：适应证和结果。
Surgery. 2011 Oct;150(4):788-95. doi: 10.1016/j.surg.2011.07.061.