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一个由内血管干预治疗的自发性腹腔动脉剖析病例报告
Jinbo Liu1, Na Zhao1, Hongwei Zhao1
1Department of Vascular Medicine; Peking University Shougang Hospital, Beijing 100144, China.
Radiology case reports
|September 5, 2024
概括
自发的腹腔动脉解剖,虽然很少见,但可以引起严重的疼痛. 内血管支架在一个病人身上有效缓解了症状,在10个月后没有出现复发.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 自发性腹腔动脉解剖 (SCAD) 是一种不常见的疾病.
- 腹痛是常见的症状,往往需要紧急干预.
- 治疗方案包括医疗管理,内血管程序和开放手术.
研究的目的:
- 报告一种自发性腹腔动脉剖析病例.
- 评估内血管支架在治疗SCAD中的有效性.
- 突出SCAD患者的成功管理和长期结果.
主要方法:
- 一名49岁的男性患有持续的腹部和背部疼痛,接受了诊断血管造影.
- 计算机断层扫描血管学 (CTA) 证实了腹腔动脉及其分支的剖析.
- 用血管支架 (BARD,LIFE STENT,VASCULAR,8×60) 进行了腹腔动脉的内血管支架.
主要成果:
- 患者呈现出严重的背部和腰部疼痛和高血压.
- 控制血压的初始医疗管理并没有缓解疼痛.
- 动脉支架导致了立即的疼痛缓解.
- 10个月后的随访CTA显示,剖析没有复发.
结论:
- 血管内静脉支架是一种可行的,有效的治疗自发性腹腔动脉剖析.
- 这种方法提供了快速的症状缓解和有利的长期结果.
- 及时诊断和干预对于管理SCAD至关重要.
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