N'Dandu Zola, Khaled Khaldia, Agbodji Richard Ayetevi, Papapostolou Georgios, Schmidt Andrej, Korosoglou Grigorios
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.
JACC Case Rep. 2023 Sep 14;24:102029. doi: 10.1016/j.jaccas.2023.102029. eCollection 2023 Oct 18.
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. ().
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。()