菌性内 Carotid 动脉动脉瘤: 一个文献综述灵感来自一个案例
Madeleine de Boer1, Connor Greatbatch1, David Cottier1
1Department of Vascular Surgery, Royal Hobart Hospital, Hobart, TAS, Australia.
Vascular
|September 16, 2025
概括
额外冠状动脉的真菌性动脉瘤,通常是由葡萄球菌引起的,罕见但严重. 这项研究提出了一个内血管修复病例和综述,建议它作为这些具有挑战性的感染的开放修复的可行替代方案.
科学领域:
- 血管外科 血管外科
- 传染性疾病 传染性疾病
- 干预性放射学 干预性放射学
背景情况:
- 额外冠状动脉的真菌性动脉瘤是罕见的,通常源于葡萄球菌感染.
- 潜在的并发症包括中风,破裂和死亡,管理指南有限.
研究的目的:
- 讨论内动脉真菌动脉瘤的管理.
- 介绍一个急需为真菌性动脉瘤进行内血管修复的病例.
- 对首选的管理策略进行系统审查.
主要方法:
- 一个 endovascular 修复一个 mycotic 内动脉动脉瘤的案例报告.
- 按照PRISMA指南进行系统的文献审查.
- 分析了38篇文章中的48例真菌性内动脉动脉瘤病例.
主要成果:
- 根据病例报告,葡萄球菌是最常见的感染原因.
- 虽然大多数审查的案例都倾向于开放性修复,但提出的案例使用了内血管修复.
- 所有患者都接受了抗生素治疗,内血管方法显示出良好的1年结果.
结论:
- 内血管管理为真菌性内动脉动脉瘤提供了开放旁路移植的替代方案,特别是在紧急情况下.
- 这种方法在干预后一年表现出有利的结果.
- 对瘤动脉瘤的内血管技术的进一步研究是有必要的.
相关概念视频
Aneurysm I: Introduction
370
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
370
Aneurysm II: Clinical Manifestations and Diagnostic Studies
303
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...
303
Aneurysm III: Interprofessional Care
255
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
255
Arteries of the Head and Neck
3.0K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
3.0K


