"Bailout" Endovascular Treatment of Acute Aortic Occlusion.

Case Reports in Vascular Medicine Pub Date : 2018-04-30 eCollection Date: 2018-01-01 DOI:10.1155/2018/6083802
Konstantinos Tigkiropoulos, Kyriakos Stavridis, Ioannis Lazaridis, Nikolaos Saratzis
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引用次数: 1

Abstract

A 37-year-old man who had a recent history of acute myocardial infarction (AMI) 3 months ago presented to the emergency department with acute ischemia of lower limbs. A CT aortography was performed, where left ventricle thrombi and acute thromboembolic occlusion of aortoiliac bifurcation were depicted. He was urgently transferred to the operation theatre, where Fogarty embolectomy was initially unsuccessful. He was managed by primary deployment of balloon expandable (BE) covered stents in the aortic bifurcation followed by thrombectomy of the left ventricle (LV) under extracorporeal circulation by cardiothoracic surgeons 2 days after initial operation. He was discharged in good general condition after 20 days under warfarin and aspirin therapy.

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急性主动脉闭塞的“紧急救助”血管内治疗。
37岁男性,3个月前有急性心肌梗死(AMI)病史,因下肢急性缺血就诊急诊科。CT主动脉造影显示左心室血栓和主动脉髂分叉急性血栓栓塞闭塞。他被紧急转移到手术室,福格蒂栓子切除术最初没有成功。首次手术后2天,由心胸外科医生在主动脉分叉处首次放置可膨胀球囊(BE)覆盖支架,然后在体外循环下左心室(LV)取血栓。在华法林和阿司匹林治疗20天后出院,情况良好。
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发文量
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审稿时长
15 weeks
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