McKiernan T L, Bock K, Leya F, Grassman E, Lewis B, Johnson S A, Scanlon P J
Department of Medicine, Loyola University Medical Center, Maywood 60153.
Cathet Cardiovasc Diagn. 1994 Mar;31(3):211-4. doi: 10.1002/ccd.1810310310.
We report a case of ergotamine tartrate induced severe vasospasm in the renal arteries and the arteries of the lower extremities. Classic features seen on peripheral angiography make the diagnosis. Anticoagulation, thrombolysis, vasodilation, steroids, and prostaglandin inhibitors all have been successfully used to treat symptomatic ergot induced arterial vasospasm. Although balloon angioplasty of ergot induced vasospasm has been described in case reports, ergot vasospasm is a self limited and medically treatable condition that does not require peripheral mechanical intervention, unless the immediate threat of necrosis and gangrene exists.
我们报告一例酒石酸麦角胺引起肾动脉和下肢动脉严重血管痉挛的病例。外周血管造影所见的典型特征有助于诊断。抗凝、溶栓、血管扩张、类固醇和前列腺素抑制剂均已成功用于治疗有症状的麦角所致动脉血管痉挛。虽然病例报告中已描述了对麦角所致血管痉挛进行球囊血管成形术，但麦角血管痉挛是一种自限性且可通过药物治疗的疾病，除非存在坏死和坏疽的紧迫威胁，否则不需要进行外周机械干预。
