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脊柱动脉伪动脉瘤的内血管支架:这个替代方案会成为新的标准吗? 一个案例报告报告
Isaac Kobe1, Marcus Nicholls1, Kaji Sritharan1
1York and Scarborough Teaching Hospitals NHS Foundation Trust, York, UK.
在全膝关节置换术后,一种罕见的双节尾动脉伪动脉瘤被成功地用支架治疗. 深静脉血栓症使诊断复杂化,强调了在类似情况下需要警监测的必要性.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 整形外科手术 整形外科手术
背景情况:
- 创伤性脊柱动脉伪动脉瘤是全膝关节置换术后不常见的并发症.
- 这些伪动脉瘤的双叶形态异常罕见.
- 深静脉血栓症可能会掩盖尾动脉伪动脉瘤的诊断.
研究的目的:
- 报道了一例罕见的双节创伤性脊柱动脉伪动脉瘤,发生在膝关节完全置换后.
- 描述这种罕见疾病的成功内血管管理.
- 讨论诊断挑战和治疗结果.
主要方法:
- 一名75岁的患者在全膝关节置换术后出现了腿部疼痛和胀.
- 诊断成像包括双重超声波和CT血管造影.
- 治疗包括使用覆盖式支架移植的新兴皮肤穿支架.
主要成果:
- 一个大,双形的尾动脉伪动脉瘤被确定.
- 成功的支架排除了伪动脉瘤,并解决了扩张.
- 患者经历了很好的康复,没有直接的并发症.
结论:
- 尾动脉伪动脉瘤支架提供了有利的短期到中期结果.
- 双叶状伪动脉瘤的罕见性限制了对结果的比较数据.
- 建议终身监测用于治疗状动脉伪动脉瘤的支架的患者.
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