• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

一种在急性缺血性左上肢紧急血运重建期间预防后脑卒中的技术。

A technique for prevention of posterior stroke during urgent revascularization of an acutely ischemic left upper extremity.

作者信息

Heyda Lauren M, Hata Kai, Koelling Erin, Propper Brandon, Sexton Jonathan Jay

机构信息

Department of General Surgery, Walter Reed National Military Medical Center, Bethesda, MD.

Department of Vascular and Cardiothoracic Surgery, Walter Reed National Military Medical Center, Bethesda, MD.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Jul 2;10(5):101559. doi: 10.1016/j.jvscit.2024.101559. eCollection 2024 Oct.

DOI:10.1016/j.jvscit.2024.101559
PMID:39157576
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11327447/
Abstract

Upper extremity acute limb ischemia (ALI) owing to obstruction proximal to the vertebral artery poses the risk of posterior stroke during intervention. We describe a case of upper extremity ALI secondary to thrombosis of the proximal left subclavian artery with thromboembolic occlusion at the brachial bifurcation. The patient underwent a hybrid procedure of open thromboembolectomy with endovascular vertebral artery embolic protection. The patient's distal pulses and upper extremity function returned to baseline, without evidence of posterior stroke. A literature review revealed limited reports of the use of cerebral embolic protection in the setting of emergent thromboembolectomy for upper extremity ALI.

摘要

由于椎动脉近端阻塞导致的上肢急性肢体缺血（ALI）在干预过程中存在后循环卒中的风险。我们描述了一例继发于左锁骨下动脉近端血栓形成并伴有肱动脉分叉处血栓栓塞性闭塞的上肢ALI病例。该患者接受了开放性血栓切除术联合血管内椎动脉栓子保护的杂交手术。患者的远端脉搏和上肢功能恢复至基线水平，未出现后循环卒中的迹象。文献综述显示，在针对上肢ALI进行紧急血栓切除术时使用脑栓子保护的报道有限。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d63d/11327447/81f1537f1b66/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d63d/11327447/6bfcc386f6e8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d63d/11327447/dcc6325e6630/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d63d/11327447/81f1537f1b66/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d63d/11327447/6bfcc386f6e8/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d63d/11327447/dcc6325e6630/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d63d/11327447/81f1537f1b66/gr3.jpg

相似文献

1
A technique for prevention of posterior stroke during urgent revascularization of an acutely ischemic left upper extremity.一种在急性缺血性左上肢紧急血运重建期间预防后脑卒中的技术。
J Vasc Surg Cases Innov Tech. 2024 Jul 2;10(5):101559. doi: 10.1016/j.jvscit.2024.101559. eCollection 2024 Oct.
2
Upper extremity thromboembolism in a patient with subclavian steal syndrome.锁骨下动脉盗血综合征患者的上肢血栓栓塞
Ann Vasc Surg. 2013 Jul;27(5):673.e9-11. doi: 10.1016/j.avsg.2012.08.014.
3
The anterior temporal approach for microsurgical thromboembolectomy of an acute proximal posterior cerebral artery occlusion.急性大脑后动脉近端闭塞的颞前入路显微外科血栓切除术
Neurosurgery. 2014 Jun;10 Suppl 2:174-8; discussioin 178. doi: 10.1227/NEU.0000000000000284.
4
Mid-term Outcomes of Image-Guided Surgical Thromboembolectomy and Routine Intraoperative Angiography for Native Vessel Acute Lower-Limb-Threatening Ischemia.影像引导下手术取栓术与常规术中血管造影术治疗原发性血管急性下肢威胁性缺血的中期结果
J Endovasc Ther. 2024 Jun 2:15266028241255544. doi: 10.1177/15266028241255544.
5
Thirty-year single-center experience with arterial thoracic outlet syndrome.30 年单中心动脉型胸廓出口综合征经验。
J Vasc Surg. 2022 Aug;76(2):523-530. doi: 10.1016/j.jvs.2022.03.870. Epub 2022 Apr 1.
6
Trans-femoral thromboaspiration for upper extremity ischemia.经股动脉血栓抽吸术治疗上肢缺血
Int J Surg Case Rep. 2016;19:25-30. doi: 10.1016/j.ijscr.2015.12.006. Epub 2015 Dec 14.
7
Concomitant Acute Ischemic Stroke and Upper Extremity Arterial Occlusion: Feasibility of Mechanical Thrombectomy of the Upper Limb Using Neurointerventional Devices and Techniques.急性缺血性卒中合并上肢动脉闭塞：使用神经介入设备和技术进行上肢机械取栓的可行性
J Clin Med. 2021 Jul 20;10(14):3189. doi: 10.3390/jcm10143189.
8
[The use of hybrid revascularization procedures for the therapy of multilevel lower extremity arterial disease--analysis of single center experience].[杂交血管重建术治疗多节段下肢动脉疾病——单中心经验分析]
Rozhl Chir. 2015 Sep;94(9):372-8.
9
Transradial dual-balloon protection system for subclavian artery stenting: "Balloon Switching" technique and literature review.经桡动脉双侧球囊保护系统在锁骨下动脉支架置入术中的应用：“球囊切换”技术及文献复习
Eur J Radiol. 2021 Oct;143:109907. doi: 10.1016/j.ejrad.2021.109907. Epub 2021 Aug 19.
10
The role of transfemoral carotid artery stenting with proximal balloon occlusion embolic protection in the contemporary endovascular management of carotid artery stenosis.经股动脉颈动脉支架置入术联合近端球囊阻断栓塞保护在当代颈动脉狭窄血管内治疗中的作用。
J Vasc Surg. 2020 Nov;72(5):1701-1710. doi: 10.1016/j.jvs.2020.02.036. Epub 2020 Apr 3.

本文引用的文献

1
Acute Symptomatic Free-Floating Thrombus in the Innominate Artery, a Case Series.无名动脉急性症状性游离血栓：病例系列
Vasc Endovascular Surg. 2022 May 4:15385744221098812. doi: 10.1177/15385744221098812.
2
Combined Transradial and Transfemoral Approach Using a Compliant Balloon for Emboli Protection at the Vertebral Artery During Subclavian Stenosis Stenting: 2-Dimensional Operative Video.
Oper Neurosurg. 2021 Apr 15;20(5):E376-E377. doi: 10.1093/ons/opaa470.
3
Successful hybrid management of extensive thromboembolism of the innominate trunk, right subclavian artery, bilateral common carotid artery, and pulmonary embolism.无名动脉、右锁骨下动脉、双侧颈总动脉广泛血栓栓塞及肺栓塞的成功杂交治疗。
Ann Vasc Surg. 2014 Aug;28(6):1566.e1-5. doi: 10.1016/j.avsg.2013.12.035. Epub 2014 Feb 11.
4
Upper extremity thromboembolism in a patient with subclavian steal syndrome.锁骨下动脉盗血综合征患者的上肢血栓栓塞
Ann Vasc Surg. 2013 Jul;27(5):673.e9-11. doi: 10.1016/j.avsg.2012.08.014.
5
Subclavian artery endovascular intervention for vertebrobasilar ischemia: the use of dual arterial access and embolic protection.锁骨下动脉血管内介入治疗椎基底动脉缺血：双动脉入路和栓子保护的应用
J Vasc Interv Radiol. 2011 May;22(5):730-2. doi: 10.1016/j.jvir.2010.12.038.
6
Vertebral artery embolic protection via ipsilateral brachial approach during left subclavian artery angioplasty and stenting--a case report.
Vasc Endovascular Surg. 2006 May-Jun;40(3):235-8. doi: 10.1177/153857440604000309.
7
Acute non-traumatic arm ischaemia.急性非创伤性手臂缺血
Br J Surg. 1998 Oct;85(10):1340-6. doi: 10.1046/j.1365-2168.1998.00884.x.