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肾细胞癌作为主动脉瘤血栓栓塞和急性肢体缺血的病因。

Renal cell carcinoma as a cause of aortic tumor thrombus embolization and acute limb ischemia.

作者信息

Franco Nunzio Francesco, Pranavan Ganes, Frahm-Jensen Gert

机构信息

Canberra Health and Hospital Services, Australian Capital Territory, Canberra, Australia.

School of Medicine and Psychology, Australian National University, Canberra, Australia.

出版信息

J Vasc Surg Cases Innov Tech. 2024 Aug 6;10(6):101594. doi: 10.1016/j.jvscit.2024.101594. eCollection 2024 Dec.

Abstract

This article presents a unique case of acute limb ischemia resulting from arterial tumor embolism secondary to renal cell carcinoma involving an aortobi-iliac bypass graft. To the best of our knowledge, this instance is the first documented in the literature of such a complication. The patient, a man in his 70s with a complex medical history, underwent bilateral femoral embolectomy and subsequent endovascular intervention for the resolution of the tumor thrombus. The rarity of this phenomenon poses challenges in formulating a standardized management strategy.

摘要

本文介绍了一例独特的急性肢体缺血病例,该病例由肾细胞癌继发的动脉肿瘤栓塞引起,累及主动脉-双髂动脉旁路移植血管。据我们所知,这种并发症在文献中尚无先例。该患者为一名70多岁男性,有复杂的病史,接受了双侧股动脉取栓术及随后的血管内介入治疗以清除肿瘤血栓。这种现象的罕见性给制定标准化的管理策略带来了挑战。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5a2e/11407919/9ce7bdef709b/gr2.jpg

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