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经皮腔内血管成形术和血管壁支架治疗高安动脉炎——病例报告

Treatment of Takayasu's aortitis with percutaneous transluminal angioplasty and wall stent--a case report.

作者信息

Wang Y M, Mak G Y, Lai K N, Lui S F

机构信息

Department of Medicine, Prince of Wales Hospital, Chinese University of Hong Kong.

出版信息

Angiology. 1998 Nov;49(11):945-9. doi: 10.1177/000331979804901112.

Abstract

The authors describe a young woman who developed severe toxemia during pregnancy, requiring emergency lower segment cesarian section at 27 weeks of gestation. Postpartum angiography showed a discrete stenotic lesion of the abdominal aorta proximal to the origin of the renal artery. Angioplasty was performed, followed by the insertion of a wall stent at the site of the stenosis. Her hypertension control improved dramatically after the stenting. This is, so far, the first reported case using a wall stent following angioplasty to relieve abdominal aortic stenosis due to Takayasu's arteritis.

摘要

作者描述了一名年轻女性,她在怀孕期间发生了严重的毒血症,在妊娠27周时需要紧急行下段剖宫产术。产后血管造影显示肾动脉起源近端的腹主动脉有一个孤立的狭窄病变。进行了血管成形术,随后在狭窄部位植入了壁式支架。支架置入后,她的高血压控制情况显著改善。这是迄今为止第一例报道的在血管成形术后使用壁式支架缓解因大动脉炎导致的腹主动脉狭窄的病例。

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