Feldman D R, Vujic I, McKay D, Callcott F, Uflacker R
Department of Radiology, Medical University of South Carolina, Charleston 29425, USA.
Cardiovasc Intervent Radiol. 1995 Sep-Oct;18(5):296-9. doi: 10.1007/BF00203679.
To describe the spectrum of radiologic findings in crutch-induced axillary artery injury and the effects of its unique pathophysiology on diagnostic evaluation and treatment.
Three patients with axillary crutch-induced axillobrachial injury were studied angiographically and percutaneous intervention was performed in two cases.
One patient required surgical bypass of a thrombosed axillary artery aneurysm. One patient responded to percutaneous transluminal angioplasty (PTA) of a focal axillary artery stenosis. One patient with an axillary artery aneurysm and distal thromboembolic disease was treated by both thrombolysis and surgical thromboembolectomy and later by PTA of an axillary artery intimal disruption.
Chronic axillary crutch use may be associated with axillary artery stenosis, aneurysm formation, and secondary axillobrachial thromboembolic disease. Mural injury can be successfully treated by PTA and thromboembolic disease by thrombolytic therapy. Early identification of the axillary artery lesion is critical for long-term therapeutic results.
描述腋拐所致腋动脉损伤的放射学表现谱及其独特病理生理学对诊断评估和治疗的影响。
对3例腋拐所致腋肱部损伤患者进行血管造影研究，并对其中2例实施了经皮介入治疗。
1例患者需要对血栓形成的腋动脉瘤进行外科搭桥手术。1例患者经皮腔内血管成形术（PTA）治疗局灶性腋动脉狭窄有效。1例患有腋动脉瘤和远端血栓栓塞性疾病的患者先后接受了溶栓和外科血栓切除术治疗，随后对腋动脉内膜破裂处进行了PTA治疗。
长期使用腋拐可能与腋动脉狭窄、动脉瘤形成及继发性腋肱部血栓栓塞性疾病有关。血管壁损伤可通过PTA成功治疗，血栓栓塞性疾病可通过溶栓治疗。早期识别腋动脉病变对长期治疗效果至关重要。
