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新极端剖析 - - 在移植和支架移植中,内血管治疗的罕见并发症
Anne Sofie F Larsen1, Shakil Aslam2, Lars Olaf Holmen3
1Radiology Department, Ostfold Hospital Trust, PB 300, Kalnesveien 300, 1714, Gralum, Norway. anne.sofie.larsen@so-hf.no.
CVIR endovascular
|October 23, 2023
概括
血管移植中的Iatrogenic neointima剖析是一种罕见的并发症,可以导致移植闭塞. 接吻支架在患有复发性大动脉-双腿骨移植闭塞的患者中有效解决了这个问题.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 血管内干预 血管内干预
背景情况:
- 新内膜增生和血管移植的形成可能导致并发症,威胁到移植通透性.
- 移植体内的剖析是内血管治疗的罕见并发症,包括支架移植.
研究的目的:
- 报告一个在血管移植中放置支架时发生的阳性性新内剖析病例.
- 为了强调这种罕见并发症的有效管理.
主要方法:
- 介绍了一个69岁的女性病例,该病例是 recurrent aorto-bifemoral graft 的急性闭塞.
- 进行了以导管为基础的动脉内血栓溶解以检测闭塞,随后进行支架安置.
- 在支架放置期间发生了Iatrogenic neointima剖析,阻断了移植输入.
主要成果:
- 患者经历了第三次,16年后的动脉-双股骨移植的急性闭塞.
- 进行了血栓溶解,但残留狭窄症仍然存在.
- 接吻支架的放置成功地解决了剖析,恢复了移植的流入.
结论:
- 植入物和支架植入物中的Iatrogenic neointima剖析是识别的关键并发症.
- 持续的血栓溶解对剖析无效,并增加出血风险.
- 及时识别和干预,如接吻支架安置,对于管理这种并发症至关重要.
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