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使用新型“圈套并固定”技术对复杂腘动脉瘤进行血管内治疗。

Endovascular Treatment of Complicated Popliteal Aneurysms Using the Novel "Trap and Fix" Technique.

作者信息

N'Dandu Zola, Khaled Khaldia, Agbodji Richard Ayetevi, Papapostolou Georgios, Schmidt Andrej, Korosoglou Grigorios

机构信息

Department of Cardiology, Ochsner Health System, Ochsner Medical Center-Kenner, Kenner, Louisiana, USA.

Clinical Research Coordinator, Tulane Center of Clinical Research, Tulane School of Medicine, New Orleans, Louisiana, USA.

出版信息

JACC Case Rep. 2023 Sep 14;24:102029. doi: 10.1016/j.jaccas.2023.102029. eCollection 2023 Oct 18.

DOI:10.1016/j.jaccas.2023.102029
PMID:37869223
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10589440/
Abstract

Herein, we present 2 patients with lower limb ischemia caused by complicated popliteal aneurysms with thrombosis and distal embolization, compromising blood flow to the foot. In both cases, covered stents were first implanted guided by intravascular ultrasound and computed tomography angiography, respectively. After "trapping" the thrombi, mechanical thrombectomy or further stent implantations were performed, "fixing" the remaining lesions and preventing embolization. ().

摘要

在此,我们报告2例因腘动脉瘤合并血栓形成和远端栓塞导致下肢缺血的患者,这影响了足部的血流。在这两例病例中,分别在血管内超声和计算机断层血管造影的引导下首先植入覆膜支架。在“困住”血栓后,进行了机械血栓切除术或进一步的支架植入,“修复”剩余病变并防止栓塞。()

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14be/10589440/1a53f823f0cb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14be/10589440/d36e04e98da2/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14be/10589440/f55616ba2346/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14be/10589440/6a9438cedb41/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14be/10589440/1a53f823f0cb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14be/10589440/d36e04e98da2/ga1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14be/10589440/f55616ba2346/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14be/10589440/6a9438cedb41/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/14be/10589440/1a53f823f0cb/gr3.jpg

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本文引用的文献

1
Crossing Algorithm for Infrainguinal Chronic Total Occlusions: An Interdisciplinary Expert Opinion Statement.经腘动脉慢性全闭塞病变的跨线技术:跨学科专家共识声明
JACC Cardiovasc Interv. 2023 Feb 13;16(3):317-331. doi: 10.1016/j.jcin.2022.11.036.
2
Retrograde Access for the Recanalization of Lower-Limb Occlusive Lesions: A German Experience Report in 1,516 Consecutive Patients.
JACC Cardiovasc Interv. 2022 Feb 14;15(3):348-351. doi: 10.1016/j.jcin.2021.09.034. Epub 2021 Dec 15.
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6
Popliteal artery aneurysms: a 25-year surgical experience.腘动脉瘤:25年的外科治疗经验
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