Suzhou TCM Hospital Affiliated to Nanjing University of Chinese Medicine, Suzhou, China.
Suzhou Vocational Health College, Suzhou, China.
J Int Med Res. 2024 Jun;52(6):3000605241258141. doi: 10.1177/03000605241258141.
Coexistence of pulmonary embolism (PE) and arterial thrombosis in a single patient is rare. Management of such cases is challenging because there is no unified standard on how to treat this type of disease. We herein report a case involving a 73-year-old man who was admitted to the hospital because of a 2-day history of chest tightness. Pulmonary computed tomography angiography revealed a filling defect of the main pulmonary artery and bilateral branches as well as a left subclavian artery embolism. AngioJet mechanical thrombectomy (Boston Scientific, Marlborough, MA, USA) was used to treat the PE, and this was combined with left brachial artery incision and thrombectomy for treatment of the left subclavian artery embolism. The patient recovered well after the operation. The prognosis was good after 9 months of regular follow-up. AngioJet mechanical thrombectomy combined with left brachial artery incision thrombectomy may be a feasible treatment option for cases of PE combined with left subclavian artery embolism.
肺栓塞（PE）和动脉血栓形成在单个患者中同时存在较为罕见。由于针对此类疾病尚无统一的治疗标准，因此此类病例的处理颇具挑战。我们在此报告 1 例 73 岁男性患者，因胸闷 2 天而入院。肺部计算机断层血管造影显示主肺动脉和双侧分支以及左锁骨下动脉栓塞存在充盈缺损。采用 AngioJet 机械血栓切除术（美国马萨诸塞州马尔伯勒的波士顿科学公司）治疗 PE，并结合左肱动脉切开取栓术治疗左锁骨下动脉栓塞。术后患者恢复良好，9 个月的定期随访后预后良好。AngioJet 机械血栓切除术联合左肱动脉切开取栓术可能是治疗 PE 合并左锁骨下动脉栓塞的一种可行方法。
