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肠系膜上动脉半暗带抽吸血栓切除术治疗肠系膜缺血

Penumbra aspiration thrombectomy of the superior mesenteric artery for mesenteric ischemia.

作者信息

Creisher Brandon A, Palvannan Prashanth, Salvatore Dawn M, DiMuzio Paul J, Abai Babak, Nooromid Michael J

机构信息

Division of Vascular Surgery, Department of Surgery, Thomas Jefferson University Hospital, Philadelphia, PA.

出版信息

J Vasc Surg Cases Innov Tech. 2023 Aug 2;9(4):101278. doi: 10.1016/j.jvscit.2023.101278. eCollection 2023 Dec.

DOI:10.1016/j.jvscit.2023.101278
PMID:37767355
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10520432/
Abstract

Acute mesenteric ischemia from thromboembolic occlusion is a life-threatening emergency associated with a high mortality rate. Prompt diagnosis and intervention are vital to preserve viable bowel and prevent mortality. In the past decade, a shift has occurred toward minimally invasive alternatives such as endovascular therapies. We present a case of acute mesenteric ischemia from superior mesenteric artery thrombosis treated promptly with the Penumbra suction thrombectomy device (Penumbra Inc).

摘要

血栓栓塞性闭塞引起的急性肠系膜缺血是一种危及生命的急症，死亡率很高。及时诊断和干预对于保留存活肠段和预防死亡至关重要。在过去十年中，已转向诸如血管内治疗等微创替代方法。我们报告一例由肠系膜上动脉血栓形成导致的急性肠系膜缺血病例，该病例使用Penumbra抽吸血栓清除装置（Penumbra公司）得到了及时治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dd1/10520432/93c34c33c911/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dd1/10520432/a6ebae45e71b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dd1/10520432/46ce31b09c53/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dd1/10520432/93c34c33c911/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dd1/10520432/a6ebae45e71b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dd1/10520432/46ce31b09c53/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7dd1/10520432/93c34c33c911/gr3.jpg

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本文引用的文献

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A single institutional experience with suction thrombectomy in acute mesenteric ischemia.急性肠系膜缺血行抽吸血栓切除术的单机构经验。
Ann Vasc Surg Brief Rep Innov. 2022 Jun;2(2). doi: 10.1016/j.avsurg.2022.100070. Epub 2022 Apr 4.
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Case report: direct revascularization in acute mesenteric ischemia by an endovascular approach.病例报告：经血管内途径对急性肠系膜缺血进行直接血运重建
CVIR Endovasc. 2019 Sep 3;2(1):31. doi: 10.1186/s42155-019-0074-0.
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Predictive Factors of Intestinal Necrosis in Acute Mesenteric Ischemia.急性肠系膜缺血性肠坏死的预测因素
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