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基于顺铂化疗后的急性肱动脉闭塞:病例报告

Acute brachial artery occlusion following cisplatin-based chemotherapy: case report.

作者信息

Tafese Abenezer Melaku, Adela Amanuel Yegnanew, Kebede Assefa Getachew, Tegegn Aklilu Sinte, Asare Elsabeth Tizazu, Awol Munir

机构信息

Department of Oncology, Addis Ababa University, Addis Ababa, Ethiopia.

Department of Internal Medicine, University of Gondar, Gondar, Ethiopia.

出版信息

SAGE Open Med Case Rep. 2024 Aug 16;12:2050313X241269594. doi: 10.1177/2050313X241269594. eCollection 2024.

DOI:10.1177/2050313X241269594
PMID:39157035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11329959/
Abstract

Thromboembolism is a significant cause of mortality and morbidity in cancer patients. While the link between cancer and venous thrombosis is well known, the recognition of arterial thrombosis as a serious complication of cancer and chemotherapeutic agents is a recent development. One of the chemotherapy agents frequently linked to acute vascular events is cisplatin. We discuss a rare case of cisplatin-related brachial arterial thrombosis in a 50-year-old man who was treated for cholangiocarcinoma with cisplatin and gemcitabine. Although rare, cisplatin-related arterial thrombosis demands careful monitoring, a high index of suspicion, and prompt management to prevent serious complications and mortality.

摘要

血栓栓塞是癌症患者死亡和发病的重要原因。虽然癌症与静脉血栓形成之间的联系已广为人知,但动脉血栓形成作为癌症和化疗药物的严重并发症却是最近才被认识到的。经常与急性血管事件相关的化疗药物之一是顺铂。我们讨论了一例罕见的与顺铂相关的肱动脉血栓形成病例,患者为一名50岁男性,因胆管癌接受顺铂和吉西他滨治疗。尽管罕见,但与顺铂相关的动脉血栓形成需要仔细监测、高度怀疑指数以及及时处理,以预防严重并发症和死亡。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc6/11329959/e6d59fdadcff/10.1177_2050313X241269594-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc6/11329959/1c03290a196d/10.1177_2050313X241269594-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc6/11329959/39833fe595ac/10.1177_2050313X241269594-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc6/11329959/e6d59fdadcff/10.1177_2050313X241269594-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc6/11329959/1c03290a196d/10.1177_2050313X241269594-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc6/11329959/39833fe595ac/10.1177_2050313X241269594-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/efc6/11329959/e6d59fdadcff/10.1177_2050313X241269594-fig3.jpg

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本文引用的文献

1
Superior mesenteric artery embolism associated with Cisplatin-induced aortic thrombosis.与顺铂诱导的主动脉血栓形成相关的肠系膜上动脉栓塞
BJR Case Rep. 2023 Sep 12;9(5):20220149. doi: 10.1259/bjrcr.20220149. eCollection 2023 Oct.
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Acute aortic thrombosis in the ascending aorta after cisplatin-based chemotherapy for esophageal cancer: a case report.食管癌顺铂化疗后升主动脉急性血栓形成:一例报告
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Predictors for thromboembolism in patients with cholangiocarcinoma.
预测胆管癌患者血栓栓塞的因素。
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D-dimer can be a diagnostic marker for cisplatin-related aortic thrombosis: A case report.D-二聚体可作为顺铂相关主动脉血栓形成的诊断标志物:一例报告。
Medicine (Baltimore). 2021 Feb 19;100(7):e24695. doi: 10.1097/MD.0000000000024695.
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Embolic Stroke Due to a Mural Thrombus in the Ascending Aorta Following Cisplatin-based Chemotherapy.顺铂化疗后继发升主动脉壁性血栓导致的栓塞性脑卒中。
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Acute ischaemic stroke following cisplatin-based chemotherapy for testicular cancer.顺铂为基础的化疗治疗睾丸癌后继发急性缺血性脑卒中。
BMJ Case Rep. 2020 May 20;13(5):e235005. doi: 10.1136/bcr-2020-235005.
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Toxicity, risk factors and management of cisplatin-induced toxicity: A prospective study.顺铂诱导毒性的毒性、危险因素及管理:一项前瞻性研究。
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Cisplatin related cardiotoxicity - acute and chronic cardiovascular morbidity in a testicular cancer survivor.
Scott Med J. 2020 Feb;65(1):24-27. doi: 10.1177/0036933019897347. Epub 2019 Dec 30.