腹主动脉瘤腔内修复术后全身炎症反应和延迟性血小板减少

IF 0.1 Q4 CARDIAC & CARDIOVASCULAR SYSTEMS Indian Journal of Vascular and Endovascular Surgery Pub Date : 2022-07-01 DOI:10.4103/ijves.ijves_7_22
K. Sivagnanam
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引用次数: 0

摘要

血管内动脉瘤修复(EVAR)后植瘤综合征是一种已知的实体,出现在EVAR的第一周内。症状包括发热、白细胞增多和c反应蛋白升高。虽然发病机制尚不清楚,但它会在5天内消退。本病例报告阐述了EVAR后第3周迟发性炎症反应,当时患者出现血小板减少,低至55,000/μL。通过支持性措施和全身性类固醇治疗,病情逐渐缓解。
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Systemic inflammatory response and delayed thrombocytopenia following endovascular aneurysm repair for abdominal aortic aneurysm
Postimplantation syndrome following endovascular aneurysm repair (EVAR) is a known entity which presents within the 1st week of EVAR. The symptoms include fever, leukocytosis, and elevated C-reactive protein. Although the pathogenesis is unknown, it resolves within a 5 days. This case report involves elaborating on delayed onset inflammatory response in the 3rd week following EVAR when the patient developed thrombocytopenia which went as low as 55,000/μL. It resolved gradually with supportive measures and systemic steroids.
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