对动脉胸部出口综合征的审查
Vamsi K Potluri1, Ruojia D Li1, Paul Crisostomo1
1Loyola University Medical Center, 2160 S 1st Avenue, Maywood, IL, 60153.
Seminars in vascular surgery
|May 4, 2024
概括
动脉胸外出口综合征 (TOS) 涉及胸外出口的动脉压缩,通常由于手臂缺血而晚诊. 治疗需要手术减压和可能的动脉重建,通常有很好的结果.
科学领域:
- 血管外科 血管外科
- 胸部外科手术 胸部外科手术
- 诊断成像 诊断成像 诊断成像
背景情况:
- 动脉胸部出口综合征 (TOS) 是由压缩关节下或关节动脉的解剖异常引起的.
- 患者,通常是年轻人,患有急性或慢性手/手臂缺血,表明诊断延迟.
研究的目的:
- 概述动脉胸部出口综合征的诊断工作和管理策略.
- 强调手术干预和适当的动脉重建的重要性.
主要方法:
- 诊断包括彻底的病史,体检,胸部X射线和动脉成像 (CTA,双重超声波).
- 治疗包括手术减压 (第一个肋骨切除) 和动脉重建,以治疗内脏损伤,血栓或动脉瘤.
- 支架是禁忌的;栓塞的治疗可能包括栓塞切除,溶解或抗凝.
主要成果:
- 症状患者通常需要进行手术干预.
- 对于受损或动脉瘤动脉,动脉重建是必要的.
- 结果通常是优秀的症状解决和移植通透性,虽然截肢是远端栓塞的情况下的风险.
结论:
- 动脉TOS需要及时诊断和手术减压.
- 适当的管理,包括在指示时进行动脉重建,会带来有利的结果.
- 避免支架和有效管理栓塞对于预防严重并发症至关重要.
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