相关实验视频
Updated: Jan 18, 2026

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Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
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压力下下动脉动脉瘤导致非典型的梅-瑟纳综合征
Aidan P Wiley1, Georges Jreij1, Sarah Rosenberger1
1Division of Vascular Surgery, Department of Surgery, University of Maryland, Baltimore, MD.
Journal of vascular surgery cases and innovative techniques
|January 16, 2026
概括
一个扩大的阴动脉动脉瘤囊压缩了左阴静脉,导致严重的腿部胀. 静脉支架成功缓解了症状,证明了对这种罕见的内血管动脉瘤修复并发症的有效治疗.
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:
- 动脉动脉瘤可以在内血管修复后扩大.
- 扩大可以导致相邻静脉结构的外部压缩.
- 阴茎静脉的压缩可以导致下肢显著的胀.
研究的目的:
- 报告一个由扩大阴道动脉动脉瘤囊囊引起的左阴道静脉压缩病例.
- 为了描述这种静脉压缩的成功内血管管理.
- 为了突出内血管动脉瘤修复的罕见并发症.
主要方法:
- 计算机断层扫描 (CT) 扫描以确定门动脉动脉瘤囊扩大和左门静脉压缩.
- 血管内超声波 (IVUS) 验证左静脉几乎完全封闭,没有血栓形成.
- 使用静脉支架 (16 × 10 毫米) 和扩张后 (16 × 20 毫米气球) 的内血管治疗.
主要成果:
- 计算机断层扫描显示了一个扩大的4.8厘米的门动脉动脉瘤囊压缩左门静脉.
- 血管内超声检查证实左下静脉几乎完全封闭.
- 患者在静脉支架插入后24小时内经历了症状缓解.
结论:
- 阴道动脉动脉瘤囊的扩大可以导致显著的阴道静脉压缩.
- 内血管支架是一种有效的治疗动脉瘤囊扩大后的静脉压缩.
- 这一案例强调了在血管内修复后监测动脉瘤囊大小的重要性.
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