动静脉移植溶栓过程中血栓脱落导致急性上肢缺血：病例报告。

IF 1.2 4区医学 Q3 UROLOGY & NEPHROLOGY Hemodialysis International Pub Date : 2024-02-22 DOI:10.1111/hdi.13135

Changli Sun, Ziming Wan, Qiquan Lai, Bo Tu, Bo Chen

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引用次数: 0

摘要

急性上肢缺血是一种罕见的、可能危及肢体或生命的血管急症，可导致肢体功能障碍或截肢。我们为您介绍一位正在接受维持性血液透析的患者，她因动静脉移植血栓住院，在溶栓过程中血栓脱落至指尖动脉，并发急性上肢缺血。我们通过精确溶栓、抗凝、纠正动脉痉挛和经皮腔内血管成形术，成功恢复了指尖动脉的通畅，避免了截肢，并恢复了动静脉移植物的功能。该病例为血管通路外科医生以类似方法治疗血栓栓塞引起的急性上肢缺血提供了依据。

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Acute upper limb ischemia caused by thrombus shedding during arteriovenous graft thrombolysis: A case report

Acute upper limb ischemia is a rare, potentially limb- or life-threatening vascular emergency that may lead to limb dysfunction or amputation. We present a patient undergoing maintenance hemodialysis who was hospitalized for arteriovenous graft thrombus complicated by acute upper limb ischemia arising from thrombus shedding to the fingertip arteries during thrombolysis. We successfully restored fingertip arterial patency, avoided amputation, and recovered the function of the arteriovenous graft by precise thrombolysis, anticoagulation, correction of arteriospasm, and percutaneous transluminal angioplasty. This case provides a basis for vascular access surgeons to treat acute upper limb ischemia caused by thromboembolism similarly.

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来源期刊

Hemodialysis International UROLOGY & NEPHROLOGY-

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Hemodialysis International was originally an annual publication containing the Proceedings of the International Symposium on Hemodialysis held in conjunction with the Annual Dialysis Conference. Since 2003, Hemodialysis International is published quarterly and contains original papers on clinical and experimental topics related to dialysis in addition to the Annual Dialysis Conference supplement. This journal is a must-have for nephrologists, nurses, and technicians worldwide. Quarterly issues of Hemodialysis International are included with your membership to the International Society for Hemodialysis. The journal contains original articles, review articles, and commentary to keep readers completely updated in the field of hemodialysis. Edited by international and multidisciplinary experts, Hemodialysis International disseminates critical information in the field.