由多个中腔动脉的慢性阻塞引起的中腔缺血症:一个病例报告
Qin-Ming Zhao1, Zhong-You Xu2, Hui Wang1
1Department of Vascular Surgery, The Affiliated People's Hospital of Ningbo University, Ningbo, Zhejiang, China.
Surgical case reports
|September 6, 2024
概括
治疗慢性中腹膜缺血症 (CMI) 需要优先考虑上腹膜动脉 (SMA). 绕道手术和内血管治疗都是CMI的有效治疗选择.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 胃肠病学 胃肠病学
背景情况:
- 慢性介质缺血症 (CMI) 是一种罕见的疾病,死亡率高,往往在急性介质缺血症之前发生.
- 最佳的手术策略和动脉干预的顺序对于成功的CMI治疗至关重要.
研究的目的:
- 描述一个复杂的慢性介质缺血病例的成功治疗.
- 突出优选上半导体动脉 (SMA) 干预在CMI管理中的重要性.
主要方法:
- 一个案例研究涉及一个患有复杂慢性中肠缺血症的患者.
- 血管旁路和内血管治疗的连续应用.
主要成果:
- 使用复血管化技术的组合,成功治疗慢性中腹膜缺血症.
- 证明了对CMI的绕道和内血管方法的可行性.
结论:
- 在中腔缺血性疾病中,建议优先打开上层中腔动脉 (SMA).
- 动脉绕道,干预疗法或综合疗法可以有效治疗CMI.
相关概念视频
Imbalances in Cardiac Output
3.3K
The heart's primary function is to pump blood throughout the body, maintaining a balance between blood sent out (cardiac output) and blood returning (venous return). If this balance is disrupted, it can result in congestive heart failure (CHF), a severe condition where the heart becomes an inefficient pump, leading to inadequate blood circulation.
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
CHF can occur due to the failure of either side of the heart. Left-side failure leads to pulmonary congestion—the right side continues to send...
3.3K
Aortic Regurgitation I: Introduction
1.6K
IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
1.6K
Peripheral Artery Disease I: Introduction
659
Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
659
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation
764
Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
764
Aneurysm II: Clinical Manifestations and Diagnostic Studies
589
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
589
Portal Hypertension
50
Portal hypertension is an increase in blood pressure within the portal venous system. Normally, this pressure is less than 5 mmHg. It is considered clinically significant when it rises above 10 mmHg. At this threshold, complications from altered blood flow and venous congestion emerge.EtiologyPortal hypertension arises from conditions that impede blood flow through the liver. The most common cause is cirrhosis, in which chronic liver injury leads to fibrotic scarring. This fibrosis narrows or...
50


