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锁骨下动脉盗血综合征诊断与治疗方法的最新进展:一例病例报告及文献综述

Current Advances in Diagnostic and Treatment Approaches for Subclavian Steal Syndrome: A Case Report and Review of the Literature.

作者信息

Tonpe Sudhanshu, Warbhe Himandri, Banode Pankaj, Gaddam Nikhita

机构信息

Department of Interventional Radiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Department of Respiratory Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Aug 1;16(8):e65925. doi: 10.7759/cureus.65925. eCollection 2024 Aug.

Abstract

With newly created therapy devices and cutting-edge diagnostic techniques, we successfully diagnosed and treated subclavian steal syndrome in this case report. This case report is complemented by a literature review that examines the current state of knowledge about diagnostic and treatment options. The patient reported pain and numbness in his left upper arm when raising his arm above his head. On clinical examination, he had good left radial and ulnar pulses while in a sitting position; however, he had absent left ulnar pulses when he raised his hand above his head. Angiography revealed retrograde perfusion of the left vertebral artery and nearly complete occlusion of the ostium of the left subclavian artery. The patient underwent angioplasty and stenting. Immediately after the procedure, the patient reported a reduction in the pain and numbness in his left upper limb by 50%, which completely disappeared at his routine follow-up after one month. The patient was completely asymptomatic during follow-up and had no signs of neurological deficit.

摘要

在本病例报告中,我们借助新研发的治疗设备和前沿诊断技术,成功诊断并治疗了锁骨下动脉盗血综合征。本病例报告辅以文献综述,该综述审视了有关诊断和治疗选择的当前知识状况。患者报告称,当将左臂举过头顶时,左上臂会出现疼痛和麻木。临床检查发现,患者坐姿时左桡动脉和尺动脉搏动良好;然而,当他将手举过头顶时,左尺动脉搏动消失。血管造影显示左椎动脉逆行灌注,左锁骨下动脉开口处几乎完全闭塞。患者接受了血管成形术和支架置入术。术后,患者立即报告称左上肢疼痛和麻木减轻了50%,在术后一个月的常规随访中疼痛和麻木完全消失。随访期间患者完全无症状,也没有神经功能缺损的迹象。

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