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A Case of True Dorsalis Pedis Artery Aneurysm 真足背动脉瘤1例
Pub Date : 2021-08-10 DOI: 10.7133/jca.21-00014
N. Kume, Yuki Ikegaya
We experienced a case of a rare dorsalis pedis artery aneurysm. The patient was a 55-year-old man who had been experiencing pain and swelling in the dorsum of his right foot for six months and was referred to our clinic. An aneurysm of 23 mm in diameter was found by CT. The aneurysm was resected and revascularization using the great saphenous vein was performed. Pathological findings showed dissec tion in the tunica media of the arterial wall and plaque in the intima, and the patient was diagnosed as a true atherosclerotic dorsalis pedis artery aneurysm.
我们有一例罕见的足背动脉瘤病例。患者是一名55岁的男性,他的右脚背部疼痛和肿胀了6个月,被转介到我们的诊所。CT发现动脉瘤直径23毫米。动脉瘤被切除并使用大隐静脉进行血运重建术。病理表现为动脉壁中膜夹层及内膜斑块,诊断为真动脉粥样硬化性足背动脉动脉瘤。
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引用次数: 0
History of Lymphatic Research: Past, Now, and Future 淋巴研究的历史:过去、现在和未来
Pub Date : 2021-08-10 DOI: 10.7133/jca.21-00015
T. Ohhashi
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引用次数: 0
Infected Abdominal Aortic Aneurysm Which Dilated 30 mm over 3 Days and Ruptured without Pain 感染腹主动脉瘤,3天内扩张30毫米,无痛破裂
Pub Date : 2021-08-10 DOI: 10.7133/jca.21-00013
Yusuke Tsukioka, Yoshinori Nakahara, Ryo Ohnishi, Issei Kuwashima, Retsu Tateishi, Kohei Sumi, Masato Shioya, T. Kanemura
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引用次数: 0
Varicose Veins Treated with Percutaneous Ablation of Perforator Using a 1470-nm Pulse Mode Laser: A Case Report 1470 nm脉冲激光经皮穿刺治疗静脉曲张1例
Pub Date : 2021-08-10 DOI: 10.7133/jca.21-00006
Eiichi Teshima
A woman in her 60s presented with varicose veins. Ultrasonography showed great saphenous vein (GSV) reflux and incompetent perforating veins (IPVs) in the lower medial thigh. At the 3-month follow-up after endovenous thermal ablation for GSV and pulse mode percutaneous ablation of perforators (PAPS) using a 1470-nm Radial 2ring slim fiber (output = 6.5 W, duration:pause 1:1s) for IPVs, the patient showed no symptoms or complications. Ultrasonography showed no GSV reflux or IPV. This method can be used to treat IPVs. PAPS, which produces sufficient heat for IPV occlusion and less heat diffusion to surround ing tissue, is another treatment option.
一名60多岁的妇女患有静脉曲张。超声示大腿下内侧大隐静脉返流及穿静脉功能不全。在静脉内热消融治疗GSV和使用1470 nm径向2环细纤维(输出= 6.5 W,持续时间:1:15)脉冲模式穿支消融(PAPS)治疗IPVs 3个月的随访中,患者未出现任何症状或并发症。超声检查未见GSV反流或IPV。此方法可用于处理IPVs。PAPS是另一种治疗选择,它可以产生足够的热量来闭塞IPV,并且减少热量扩散到周围组织。
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引用次数: 0
A Case of Iliac Artery Aneurysm after Renal Transplantation 肾移植术后髂动脉瘤1例
Pub Date : 2021-08-10 DOI: 10.7133/jca.21-00005
Keiichiro Kawamura, S. Sasaki, Y. Nakano, S. Toyama, Tetsuo Watanabe
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引用次数: 0
Two Cases of Simultaneous Abdominal Aortic Replacement and Thoracic Endovascular Aortic Repair after Arch Replacement for Abdominal Aortic Aneurysm with Type A Acute Aortic Dissection 腹主动脉瘤合并A型急性主动脉夹层拱形置换术后同时行腹主动脉置换术及胸腔内主动脉修复2例
Pub Date : 2021-08-10 DOI: 10.7133/jca.21-00009
Yuko Gatate, T. Miyauchi, M. Fukuzumi, H. Otake, Y. Tadokoro, Y. Tsuchida, T. Tedoriya
Arch replacement was performed to treat type A acute aortic dissection in two patients with abdominal aortic aneurysm in the acute stage. In the second stage of treatment, we performed abdominal aortic replacement and thoracic endovascular aortic repair, expecting to achieve residual entry closure and aortic remodeling. No complications of postoperative paraplegia were observed in the two patients. Postoperative computed tomography showed good aortic remodeling was achieved. This procedure might be a safe and useful treatment option.
对2例急性期腹主动脉瘤A型急性主动脉夹层患者行足弓置换术治疗。在第二阶段的治疗中,我们进行了腹主动脉置换术和胸血管内主动脉修复术,期望达到残留入口关闭和主动脉重塑。2例患者均无术后截瘫并发症。术后计算机断层扫描显示主动脉重建良好。这种方法可能是一种安全有效的治疗方法。
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引用次数: 0
A Surgical Case of Subacute Hepatic Ischemia in a Patient with Stanford Type B Acute Aortic Dissection with Obstruction of the Celiac Artery Stanford B型急性主动脉夹层合并腹腔动脉梗阻的亚急性肝缺血手术一例
Pub Date : 2021-08-10 DOI: 10.7133/jca.21-00004
Tatsuto Wakami, Shigeki Koizumi, Ken Nakamura, T. Koyama
A 65-year-old man was admitted to our hospital complaining of back pain. A contrast-enhanced computed tomography scan detected Stanford type B acute aortic dissection. Although the celiac artery was occluded, the distal hepatic artery was enhanced. We performed an emergent thoracic endovascular aortic repair. Levels of liver enzymes were elevated after we commenced enteral feeding. Liver ischemia was suspected due to a decrease in collateral flow. Thus, we performed hepatic artery bypass by the great saphenous vein. The finding of liver ischemia was disappeared after the surgery. (J
一名65岁男子因背部疼痛入住我院。对比增强计算机断层扫描发现斯坦福B型急性主动脉夹层。虽然腹腔动脉闭塞,但肝远端动脉增强。我们进行了紧急胸腔血管内主动脉修复术。肝酶水平在我们开始肠内喂养后升高。由于侧支血流减少,怀疑肝缺血。因此,我们通过大隐静脉进行肝动脉旁路手术。术后肝缺血消失。(J
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引用次数: 0
A Case of Type A aortic Dissection in Which Blood Flow in Left Common Carotid Artery Disappeared Immediately after Commencement of CPB via Right Subclavian Artery and Surgical Repair Was Achieved Using Femoral Artery Cannulation A型主动脉夹层1例,经右锁骨下动脉CPB后左颈总动脉血流立即消失,经股动脉插管手术修复
Pub Date : 2021-07-10 DOI: 10.7133/JCA.21-00007
Yusuke Tsukioka, Yoshinori Nakahara, Retsu Tateishi, Kohei Sumi, Ryo Ohnishi, Masato Shioya, T. Kanemura
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引用次数: 0
Short and Long Term Outcome of the Symptomatic Isolated Superior Mesenteric Artery Dissection after Conservative Treatment 保守治疗后症状性孤立性肠系膜上动脉夹层的近期和长期疗效
Pub Date : 2021-05-10 DOI: 10.7133/JCA.21-00002
H. Sugawara, H. Goto, D. Akamatsu, Yoshitaro Yoshida, Y. Tajima, Shinichiro Horii, N. Ogasawara, Hirokazu Takahashi, Yohei Nagaoka, Y. Nakano, T. Kamei
The criteria of the second intervention for the superior mesenteric artery dissection (SMAD) after conservative treatment generally include persistent symptoms, bowel ischemia, diameter enlargement, progression of the dissection and so on. However, the criteria have not been elucidated. Among them, our criteria include only bowel ischemia and diameter enlargement. We reviewed the short- and long-term outcomes of the 26 patients of SMAD after conservative treatment. There were no patients who had a secondary intervention, and the prognosis was favorable. (J
肠系膜上动脉夹层(SMAD)保守治疗后第二次干预的标准一般包括持续症状、肠缺血、直径增大、夹层进展等。然而,这些标准尚未得到阐明。其中,我们的诊断标准仅包括肠缺血和肠直径增大。我们回顾了26例SMAD患者保守治疗后的短期和长期结果。没有患者接受二次干预,预后良好。(J
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引用次数: 0
Vascular Access Failure Due to Idiopathic Subclavian Artery Dissection 特发性锁骨下动脉夹层导致的血管通路失败
Pub Date : 2021-02-10 DOI: 10.7133/JCA.20-00039
S. Unosawa, H. Umezawa, T. Hattori
61歳男性,糖尿病性腎症による慢性腎不全のために 透析導入が必要になり内シャント造設術目的に当院に紹 介となった。左上肢の静脈の血管径は細く,右前腕末梢 で橈骨動脈–橈側皮静脈吻合を行い内シャント造設術を 施行した。術中所見では橈骨動脈は2.5 mmで石灰化を 伴っていた。吻合は端側吻合にて行った。術翌月から同 シャントを使用して問題なく透析を施行していた。しか し,透析導入3カ月後に thrillが突然に消失して当院へ紹 介となった。橈骨動脈の拍動は触知できなかったが,右 上肢の冷感や蒼白などは認めなかった。超音波検査では 上腕動脈にて抵抗係数0.37,血流量110 mL/分であった。 シャント肢の動脈狭窄が疑われ,長期留置カテーテルを 挿入して透析を維持した。 動脈狭窄の評価目的に造影CTを施行したところ,右 鎖骨下動脈から上腕動脈に偽腔開存型の解離を認めた (Fig. 1)。CTでは狭窄病変を確認できなかった。超音波 検査を再施行したところ,鎖骨下動脈から上腕動脈にか けて動脈解離を確認した。解離の末梢部位では偽腔に圧 排され真腔が狭小化していた(Fig. 2)。経皮的動脈形成 術よりは外科的修復術が確実であると判断して手術を施 行した。 超音波検査にて真腔と偽腔の両方に血流を認める偽腔 開存型の動脈解離であり,偽腔の末梢の開窓術で血流は 改善されると判断した。超音波検査にて偽腔末梢の部位 を確認したところ,腋窩近傍の上腕に位置していた。そ の直上に局所麻酔下に皮膚切開を行い,上腕動脈を確
61岁男性,因糖尿病性肾病引起的慢性肾衰竭,必须进行透析,为了内肾和构造术而到本院。左上肢静脉血管直径较细,在右前臂末梢进行桡动脉-桡侧皮静脉吻合实施内切口手术。术中显示桡动脉2.5 mm,并伴有石灰化。吻合是通过端侧吻合进行的。从手术的第二个月开始使用同剂没有问题地施行着透析。但是,导入透析3个月后,thrill突然消失,到我院接受治疗。虽然摸不到桡动脉搏动,但也没有发现右上肢冰冷或苍白等症状。b超检查显示,肱动脉阻力系数为0.37,血流量为110ml /分。怀疑下肢动脉狭窄,插了长期留置导管维持透析。以评估动脉狭窄为目的施行造影CT,结果发现右锁骨下动脉至肱动脉存在假腔开存型解离(Fig. 1)。CT没能确认病变狭窄。再次实施b超检查,确认锁骨下动脉到肱动脉存在动脉解离。解离的末梢部位被伪腔压排,真腔狭小化了(Fig. 2)。认为外科修复手术比经皮动脉成形术更可靠,因此实施了手术。通过b超检查,发现真腔和假腔均有血流,判断为假腔开存型动脉解离,通过假腔末梢的开窗术,血流可以得到改善。通过超声波检查确认假腔末梢部位,位于腋窝附近的上臂。在它的正上方进行局部麻醉,然后切开皮肤,确定肱动脉
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The Journal of Japanese College of Angiology
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