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抗磷脂综合征患者全膝关节置换术后急性腘动脉血栓形成闭塞:一例罕见并发症报告

Acute Popliteal Artery Thrombotic Occlusion Post Total Knee Arthroplasty in a Patient With Antiphospholipid Syndrome: A Report of a Rare Complication.

作者信息

Salem Omar A, Alzayer Mohammed A, Al Matawah Mohammed, Alqahtani Mohammed S, Badahdah Abdullah S, Alshahrani Hamad

机构信息

Orthopedic Surgery, King Fahad Specialist Hospital, Dammam, SAU.

出版信息

Cureus. 2023 Oct 15;15(10):e47054. doi: 10.7759/cureus.47054. eCollection 2023 Oct.

DOI:10.7759/cureus.47054
PMID:37846347
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10576868/
Abstract

Acute popliteal arterial thrombotic occlusion following total knee arthroplasty is a rare but serious complication, most of which happens due to blunt trauma during surgery in patients with preexisting peripheral vascular disease. Historically, popliteal artery thrombosis has been approached only by open surgery. In this report, we describe a case of acute thrombotic occlusion of the popliteal artery occurring immediately after total knee arthroplasty in a patient who was presumed healthy and found to have antiphospholipid syndrome and was successfully managed by mechanical endovascular thrombectomy.

摘要

全膝关节置换术后急性腘动脉血栓形成闭塞是一种罕见但严重的并发症,大多数是由于存在外周血管疾病的患者在手术期间受到钝性创伤所致。从历史上看,腘动脉血栓形成仅通过开放手术治疗。在本报告中,我们描述了一例在全膝关节置换术后立即发生急性腘动脉血栓形成闭塞的病例,该患者被认为健康,但发现患有抗磷脂综合征,并通过机械性血管内血栓切除术成功治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b0/10576868/c15263d4ad32/cureus-0015-00000047054-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b0/10576868/8a84e1fac2ce/cureus-0015-00000047054-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b0/10576868/5bee70a82f93/cureus-0015-00000047054-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b0/10576868/c15263d4ad32/cureus-0015-00000047054-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b0/10576868/8a84e1fac2ce/cureus-0015-00000047054-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b0/10576868/5bee70a82f93/cureus-0015-00000047054-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d7b0/10576868/c15263d4ad32/cureus-0015-00000047054-i03.jpg

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本文引用的文献

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BMC Surg. 2022 Nov 18;22(1):398. doi: 10.1186/s12893-022-01843-1.
2
Concurrent arterial and venous thrombosis in a patient with catastrophic antiphospholipid syndrome.灾难性抗磷脂综合征患者并发动静脉血栓形成
Caspian J Intern Med. 2021;12(Suppl 2):S487-S490. doi: 10.22088/cjim.12.0.487.
3
Acute popliteal thrombus following total knee arthroplasty: A case report.
全膝关节置换术后急性腘静脉血栓形成:一例报告。
Medicine (Baltimore). 2020 Oct 16;99(42):e22500. doi: 10.1097/MD.0000000000022500.
4
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5
Patient Satisfaction After Total Knee Replacement: A Systematic Review.全膝关节置换术后的患者满意度:一项系统评价
HSS J. 2018 Jul;14(2):192-201. doi: 10.1007/s11420-018-9614-8. Epub 2018 Jun 5.
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Acute thrombotic occlusion after total knee arthroplasty: Role of endovascular management.全膝关节置换术后急性血栓闭塞:血管内治疗的作用
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