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在内静脉机械血栓切除术后的阳性动脉静脉
Ben Christopher Caputo1, Lemuel Kirby2
1Resident Surgeon, General Surgery, University of North Carolina Health Sciences at MAHEC, Mission Hospitals, Asheville, NC.
Journal of vascular surgery cases and innovative techniques
|November 1, 2024
概括
催血性动脉静脉 (AVF) 是用于深静脉血栓的机械血栓切除术的罕见并发症. 这一案例突出了使用一种新的穿透技术成功治疗股骨膜AVF的情况.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心血管医学 心血管医学
背景情况:
- 机械和吸血血栓切除术是急性阴茎骨上深静脉血栓症的常见治疗方法.
- 这些手术的并发症很少见,但阳性动脉静脉 (AVF) 的发生率没有得到充分的记录.
研究的目的:
- 报告因深静脉血栓形成的机械血栓切除术后形成的阳性动脉静脉 (AVF) 病例.
- 描述一种用于治疗这种并发症的新型内血管技术.
主要方法:
- 一个病例报告,一个85岁的患有病态肥胖的女性,患有急性阴茎上腺深静脉血栓症.
- 患者患有大腿关节AVF,由下肢胀,蓝色和无脉动等特征识别出来.
- 治疗涉及到一种独特的透过接入技术,包括在受伤的静脉内捕捉和用牙线清理状管.
主要成果:
- 成功关闭了阳性骨膜动脉静脉.
- 解决患者的下肢症状,包括,蓝色和无脉动.
- 为这种罕见的并发症展示一种新且有效的治疗策略.
结论:
- 催血性动脉静脉是一个潜在的,尽管很少见的,机械血栓切除术对深静脉血栓的并发症.
- 通过和通过的访问技术与陷和牙线可以是成功治疗iatrogenicAVFs.
- 这个案例扩大了在静脉内干预期间管理复杂血管损伤的武器库.
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