{"title":"动脉胸廓出口综合征后锁骨骨折内搭桥使用肝素结合假体","authors":"A. Chaudhuri","doi":"10.1016/j.ejvsextra.2013.01.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>We present an endovascular solution for post-traumatic arterial thoracic outlet syndrome.</p></div><div><h3>Case report</h3><p>A 64-year-old female presented with a pulseless claudicating upper limb affecting her daily activities, following a left clavicular fracture. Magnetic resonance angiography revealed distal subclavian artery stenoses. Following removal of clavicular fixation, the stenosed segment was re-opened by deployment of a 6 × 50 mm Viabahn endoprosthesis with distal pulse re-establishment and complete symptomatic resolution.</p></div><div><h3>Discussion</h3><p>Subclavian artery injury is a recognised sequel of clavicular fracture or treatment thereof. Endobypass using a stent-graft provides a safe and convenient option precluding the need for surgical bypass with additional protection in case of intra-procedural arterial rupture.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"25 4","pages":"Pages e32-e34"},"PeriodicalIF":0.0000,"publicationDate":"2013-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.01.001","citationCount":"2","resultStr":"{\"title\":\"Arterial Thoracic Outlet Syndrome Following Clavicular Fracture Managed by Endobypass Using a Heparin-bonded Endoprosthesis\",\"authors\":\"A. Chaudhuri\",\"doi\":\"10.1016/j.ejvsextra.2013.01.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>We present an endovascular solution for post-traumatic arterial thoracic outlet syndrome.</p></div><div><h3>Case report</h3><p>A 64-year-old female presented with a pulseless claudicating upper limb affecting her daily activities, following a left clavicular fracture. Magnetic resonance angiography revealed distal subclavian artery stenoses. Following removal of clavicular fixation, the stenosed segment was re-opened by deployment of a 6 × 50 mm Viabahn endoprosthesis with distal pulse re-establishment and complete symptomatic resolution.</p></div><div><h3>Discussion</h3><p>Subclavian artery injury is a recognised sequel of clavicular fracture or treatment thereof. Endobypass using a stent-graft provides a safe and convenient option precluding the need for surgical bypass with additional protection in case of intra-procedural arterial rupture.</p></div>\",\"PeriodicalId\":100397,\"journal\":{\"name\":\"EJVES Extra\",\"volume\":\"25 4\",\"pages\":\"Pages e32-e34\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-04-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.01.001\",\"citationCount\":\"2\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"EJVES Extra\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S153331671300006X\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"EJVES Extra","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S153331671300006X","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
摘要
我们提出一种血管内治疗创伤后动脉胸廓出口综合征的方法。病例报告一名64岁女性，左锁骨骨折后，上肢无脉跛行，影响日常活动。磁共振血管造影显示锁骨下远端动脉狭窄。拆除锁骨固定后，通过部署6 × 50 mm Viabahn假体重新打开狭窄节段，远端脉冲重建，症状完全缓解。锁骨下动脉损伤是公认的锁骨骨折或其治疗的后遗症。在术中动脉破裂的情况下，使用支架搭桥提供了一种安全方便的选择，排除了手术搭桥的需要。
Arterial Thoracic Outlet Syndrome Following Clavicular Fracture Managed by Endobypass Using a Heparin-bonded Endoprosthesis
Introduction
We present an endovascular solution for post-traumatic arterial thoracic outlet syndrome.
Case report
A 64-year-old female presented with a pulseless claudicating upper limb affecting her daily activities, following a left clavicular fracture. Magnetic resonance angiography revealed distal subclavian artery stenoses. Following removal of clavicular fixation, the stenosed segment was re-opened by deployment of a 6 × 50 mm Viabahn endoprosthesis with distal pulse re-establishment and complete symptomatic resolution.
Discussion
Subclavian artery injury is a recognised sequel of clavicular fracture or treatment thereof. Endobypass using a stent-graft provides a safe and convenient option precluding the need for surgical bypass with additional protection in case of intra-procedural arterial rupture.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
