针对COVID-19肺炎后急性上层半肠动脉阻塞的内血管干预:两例病例报告
Duy Cao Phuong Le1,2, Hoa The Bui2, Quan Duy Vo1,2
1Faculty of Medicine, Nguyen Tat Thanh University Ho Chi Minh City Vietnam.
Interventional cardiology (London, England)
|September 23, 2024
概括
COVID-19可以导致上层中枢动脉 (SMA) 血栓形成,这是一个罕见但严重的疾病. 及时诊断和内血管治疗,如支架安置,可以有效地管理COVID-19患者的SMA血栓形成.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 胃肠病学 胃肠病学
背景情况:
- 急性中肠缺血是COVID-19患者可能出现的关键并发症.
- 由于细微的初始症状,急性介质缺血的早期鉴定是很困难的.
- 迅速恢复血液流动对于预防严重后果至关重要.
研究的目的:
- 在患有严重急性呼吸综合征冠状病毒2 (SARS-CoV-2) 感染的患者中报告两例上层介质动脉 (SMA) 血栓形成病例.
- 突出非典型胃肠道症状的潜力,以表明不常见的COVID-19并发症.
- 为了评估SMA无肠死瘤血栓症的内血管治疗的疗效.
主要方法:
- 两名被诊断患有COVID-19后的SMA血栓症的患者的案例研究.
- 使用计算机断层扫描 (CT) 扫描来确认诊断.
- 进行了血管内干预,在血管学确认后放置了自我扩张的支架.
主要成果:
- CT扫描显示,在两种情况下,SMA血栓形成,没有肠道缩的迹象.
- 在这两名患者中,成功安装了内血管支架.
- 在双重抗血小板治疗期间,两名患者在6个月的随访期间都保持无症状.
结论:
- 在COVID-19患者的非典型胃肠道症状证明了对SMA血栓的怀疑.
- 内血管治疗是一种可行且有效的治疗SMA闭塞,当肠道缩缺席时.
- 早期检测和干预是COVID-19相关的SMA血栓形成的关键.
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