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伴有近乎完全闭塞的腹主动脉远端血栓形成——资源有限环境下血管内治疗前的一例病例

Distal Abdominal Aortic Thrombus With Approximately Full Occlusion-A Case of Pre-Endovascular Care in Resource-Limited Settings.

作者信息

Chipongo Hilary, Sarkar Abizer, Sangey Esmail, Chudasama Kishan, Swali Amar, Rajan Shaffin

机构信息

Critical Care Department Shree Hindu Mandal Hospital Dar es Salaam Tanzania.

Radiology Department Shree Hindu Mandal Hospital Dar es Salaam Tanzania.

出版信息

Clin Case Rep. 2025 Aug 3;13(8):e70759. doi: 10.1002/ccr3.70759. eCollection 2025 Aug.

Abstract

Up-to-date management of a distal abdominal aortic thrombus is challenging as no dedicated guideline for treating this condition exists. In our setting, it is one of the rare arterial vascular emergencies that can lead to devastating consequences and an increase in patient morbidity or mortality. For this publication, we have a case report of an elderly female of Asian descent who failed multiple attempts of conservative management with thrombolytics but benefited from an intra-arterial papaverine infusion to salvage her ischemic lower limb.

摘要

目前对于腹主动脉远端血栓的管理具有挑战性,因为尚无专门针对这种情况的治疗指南。在我们的医疗环境中,这是一种罕见的动脉血管急症,可能导致灾难性后果,并增加患者的发病率或死亡率。在本出版物中,我们有一例亚裔老年女性病例报告,她多次尝试使用溶栓药物进行保守治疗均失败,但通过动脉内注入罂粟碱挽救了缺血的下肢。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/71fa/12318816/421a63336db8/CCR3-13-e70759-g002.jpg

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