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上肢微栓子的治疗。

Treatment of microemboli of the upper extremity.

作者信息

Diethrich E B, Koopot R, Kinard S A, Futral J E

出版信息

Surg Gynecol Obstet. 1979 Apr;148(4):584-6.

PMID:432775
Abstract

A patient with microembolism of the left hand from an ulcerated lesion in the proximal part of the left subclavian artery was treated by a simple procedure for removing the embolic source from the arterial circulation. Through a supraclavicular approach, the subclavian artery was divided from the aorta distal to the lesion and anastomosed to the left common carotid artery. This technique was effective not only in restoring unobstructed distal circulation but also in avoiding the use of the more complicated thoracotomy.

摘要

一名因左锁骨下动脉近端溃疡性病变导致左手微栓塞的患者,通过一种简单的手术程序进行治疗,以从动脉循环中去除栓子来源。通过锁骨上入路,在病变远端将锁骨下动脉与主动脉分离,并与左颈总动脉进行吻合。该技术不仅有效地恢复了通畅的远端循环,还避免了使用更为复杂的开胸手术。

相似文献

1
Treatment of microemboli of the upper extremity.上肢微栓子的治疗。
Surg Gynecol Obstet. 1979 Apr;148(4):584-6.
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[Surgery of abdominal aorta with horseshoe kidney].马蹄肾腹主动脉手术
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[Subclavian-carotid anastomosis: a new technique for treating obliterations of the proximal subclavian artery (author's transl)].锁骨下动脉-颈动脉吻合术:治疗锁骨下动脉近端闭塞的一种新技术(作者译)
Nouv Presse Med. 1980 Dec 20;9(48):3693-4.
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[Aberrant subclavian artery in infants. Division and reimplantation into the common carotid artery through cervicotomy (author's transl)].婴儿迷走锁骨下动脉。经颈部切开术将其离断并重新植入颈总动脉(作者译)
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Treatment of type II endoleaks associated with left subclavian artery coverage during thoracic aortic stent grafting.胸主动脉支架植入术中左锁骨下动脉覆盖相关Ⅱ型内漏的治疗
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[Extra-anatomical bypass for subclavian artery occlusion].[锁骨下动脉闭塞的解剖外旁路手术]
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引用本文的文献

1
[Subclavian-carotid artery transposition in the therapy of lesions of the proximal subclavian artery].
Langenbecks Arch Chir. 1983;359(3):197-203. doi: 10.1007/BF01250982.
2
Unilateral digital ischaemia secondary to embolisation from subclavian atheroma.锁骨下动脉粥样硬化斑块栓塞继发的单侧手指缺血
Ann R Coll Surg Engl. 1989 Mar;71(2):140-2.