应用肝素结合覆盖支架治疗腋股旁路术后腋窝动脉闭塞引起的上肢跛行

A. Chaudhuri
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引用次数: 0

摘要

手术后腋窝动脉闭塞可能出现上肢症状,需要干预。报告一名76岁男性因下肢缺血行左腋股旁路手术。在最初表现为肱血栓栓塞后,他再次表现为左腋窝动脉闭塞,表现为上肢跛行,严重影响日常生活活动。在部署10 × 50mm Viabahn假体后,腋窝动脉成功再通,症状完全缓解。上肢近端血管血管内再通术为开放性手术提供了一种方便的选择。如果在手术过程中动脉破裂,支架移植比支架提供额外的保护。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Endobypass Using a Heparin-bonded Covered Stent to Treat Upper Limb Claudication due to Axillary Artery Occlusion Following Axillofemoral Bypass

Introduction

Post-surgical axillary artery occlusion may present with upper limb symptoms requiring intervention.

Report

A 76-year-old male had previously undergone left axillofemoral bypass for lower limb ischemia. Following an initial presentation with brachial thromboembolism, he re-presented with left axillary artery occlusion manifesting as upper limb claudication significantly affecting activities of daily living. The axillary artery was successfully recanalised following deployment of a 10 × 50mm Viabahn endoprosthesis with complete symptomatic resolution.

Discussion

Endovascular recanalisation of proximal upper limb vessels affords a convenient option to open surgery. A stent-graft offers additional protection compared to a stent if there is arterial rupture during the procedure.

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