Wei Huang, Ke Wang, Yang Liu, Qi-Qi Wang, Hai-Jun Wei, Chun-Shui He
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引用次数: 0
摘要
背景：报告通过布勒弧（Arc of Buhler）对肠系膜上动脉（SMA）闭塞进行再血管化的病例报告：一名 62 岁的女性因反复腹胀和餐后疼痛就诊 2 个月。计算机断层扫描血管造影（CTA）显示，SMA 闭塞，远端通过布勒弧（连接腹腔干和 SMA）灌注。传统的血管内技术未能奏效。一根 0.014 英寸的导丝通过布勒弧逆行穿过闭塞处。从股骨鞘中取出导丝，进行了带支架的球囊血管成形术。患者术后症状完全缓解：结论：通过布勒弧逆行血管再通手术是治疗 SMA 初段闭塞的有效方法。
Revascularization of superior mesenteric artery occlusion via the arc of Buhler: A case report and literature review.
Background: To report revascularization of a superior mesenteric artery (SMA) ostial occlusion via the Arc of Buhler.
Case report: A 62-year-old female presented with 2 months of recurrent abdominal distension and postprandial pain. Computed tomography angiography (CTA) revealed ostial occlusion of the SMA with distal perfusion via the Arc of Buhler (connecting the celiac trunk and SMA). Conventional endovascular techniques failed. A 0.014 guidewire was passed retrograde through the occlusion via the Arc of Buhler. The guidewire was captured from the femoral sheath and balloon angioplasty with stent placement was performed. The patient had complete symptom resolution post-procedure.
Conclusions: Retrograde revascularization via the Arc of Buhler is an effective method for treating the initial segment occlusion of the SMA.
期刊介绍：
Vascular provides readers with new and unusual up-to-date articles and case reports focusing on vascular and endovascular topics. It is a highly international forum for the discussion and debate of all aspects of this distinct surgical specialty. It also features opinion pieces, literature reviews and controversial issues presented from various points of view.
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