经皮经壁动脉旁路术（PTAB）后成分分离的不寻常表现

IF 0.7 Q4 SURGERY

Journal of Vascular Surgery Cases Innovations and Techniques Pub Date : 2025-05-08 DOI:10.1016/j.jvscit.2025.101838

Kirby Derek DO , Maraya Camazine MD , Todd R. Vogel MD, MPH

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引用次数: 0

摘要

本病例报告详细介绍了经皮经壁动脉旁路手术治疗一个长（20-25厘米）闭塞病变，引起间歇性休息性疼痛，患者有多种合并症。最初的下肢干预无并发症；然而，术后1个月，患者出现剧烈的休息疼痛，踝关节-肱指数下降0.35，四肢肿胀。计算机断层血管造影结果显示组件分离，随后通过放置覆盖支架进行修复。患者症状立即改善，术后第一天出院。本病例报告说明了处理不同寻常的并发症成分分离的方法，其表现为急性肢体缺血。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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An unusual presentation of component separation after percutaneous transmural arterial bypass (PTAB)

This case report details a percutaneous transmural arterial bypass for a long (20-25 cm) occlusive lesion causing intermittent rest pain in a patient with multiple comorbid conditions. Initial lower extremity intervention was without complication; however, 1 month postoperatively, the patient presented acutely with severe rest pain, a diminished ankle-brachial index of 0.35, and a swollen extremity. Computed tomography angiography findings demonstrated component separation, which was subsequently repaired with placement of a covered stent. Symptoms immediately improved, and the patient was discharged on postoperative day one. This case report illustrates methods of managing the unusual complication of component separation, which presented as acute limb ischemia.

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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.