一种有效的混合治疗持续的坐骨动脉动脉瘤
Alessandro Ciolli1,2, Francesco Stilo1, Vincenzo Cirimele3
1Vascular Surgery Unit, Fondazione Policlinico Campus Bio-Medico di Roma, Rome, Italy.
EJVES vascular forum
|October 27, 2025
概括
双边持续性坐骨动脉动脉瘤 (PSAA) 可能导致四肢缺血. 结合外科旁路和栓塞的混合方法成功治疗了一名患者的右PSAA,缓解休息疼痛并防止进一步的并发症.
科学领域:
- 血管外科 血管外科
- 遗传性血管异常 遗传性血管异常
- 干预性放射学 干预性放射学
背景情况:
- 持续性坐骨动脉 (PSA) 是一种罕见的先天性血管异常.
- PSA 可以导致诸如动脉瘤形成和血栓形成等并发症,可能导致肢体威胁性缺血症.
研究的目的:
- 报告双边持续性坐骨动脉动脉瘤 (PSAA) 的情况.
- 为了描述正确PSAA呈现休息疼痛和血栓形成的成功混合治疗.
主要方法:
- 一名61岁的男性双边PSAA接受了对正确PSAA的混合治疗.
- 治疗涉及使用大沙静脉进行外科绕道,并对动脉瘤进行分阶段的皮肤穿栓塞.
主要成果:
- 混合治疗成功排除了正确的PSAA,并在12个月后保持了移植的通透性.
- 患者仍然没有缺血症状,左侧PSAA仍然无症状.
结论:
- 混合治疗是一种可行的选择,用于管理持久性坐骨动脉动脉瘤与诸如血栓形成等并发症.
- 这种方法可以有效地缓解缺血症状,并保持四肢活力.
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