慢性主动脉髂闭塞性疾病致臀缺血性坏疽

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-03-31 DOI:10.1016/j.jvscit.2025.101792

Christos Pitros MD , Andreas Tsimpoukis MD , Melina S. Stathopoulou MD , Chrysanthi Papageorgopoulou MD, MSc, PhD , Francesk Mulita MD, MSc, PhD , Spyros Papadoulas MD, MSc, PhD

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引用次数: 0

摘要

臀坏疽很少使介入手术（如骨盆血管造影栓塞）复杂化，也可能在腹主动脉手术中，如果侧枝循环受损，在切开结扎或血管内覆盖或栓塞一条或主要两条髂内动脉后发生。另一方面，臀坏疽作为慢性主动脉髂闭塞性疾病的主要表现在文献中是非常罕见的。我们报告一位动脉粥样硬化性髂主动脉阻塞和左臀部坏死痂的患者，在数字减影血管造影术后接受髂主动脉旁路治疗。髂内动脉重建术，即使是对侧，对于这些患者坏死组织的愈合是至关重要的。

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Gluteal ischemic gangrene due to chronic aortoiliac occlusive disease

Gluteal gangrene rarely complicates interventional procedures such as angiographic embolization in the pelvis or may develop postoperatively after open ligation or endovascular covering or embolization of one or mainly both internal iliac arteries in abdominal aortic surgery if collateral circulation is compromised. On the other hand, gluteal gangrene as a primary manifestation of chronic aortoiliac occlusive disease is very exceptional in literature. We present a patient with atherosclerotic aortoiliac obstruction and a necrotic eschar on her left buttock treated with aortobiiliac bypass after digital subtraction angiography. Internal iliac artery revascularization, even contralaterally, is crucial for the healing of necrotic tissue in these patients.

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来源期刊

Journal of Vascular Surgery Cases Innovations and Techniques SURGERY-

CiteScore

1.00

自引率

14.30%

发文量

219

审稿时长

29 weeks

期刊介绍： Journal of Vascular Surgery Cases and Innovative Techniques is a surgical journal dedicated to publishing peer review high quality case reports, vascular images and innovative techniques related to all aspects of arterial, venous, and lymphatic diseases and disorders, including vascular trauma, malformations, wound care and the placement and maintenance of arterio-venous dialysis accesses with an emphasis on the practicing clinician. The Journal seeks to provide novel and timely information to vascular surgeons, interventionalists, phlebologists, wound care specialists, and allied health professionals involved with the management of patients with the entire spectrum of vascular disorders.