頁籤選單縮合
題 名 | Percutaneous Stenting of an Isolated Spontaneous Dissection of the Superior Mesenteric Artery in a Hybrid Operating Room: Report of a Case=在混合式開刀房內,以經皮支架治療上腸系膜動脈剝離症:病例報告 |
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作 者 | 甘宗本; 張瑞月; 張瑞昇; 黃駿麟; | 書刊名 | 臺灣外科醫學會雜誌 |
卷 期 | 44:2 2011.03-04[民100.03-04] |
頁 次 | 頁65-69 |
分類號 | 416.263 |
關鍵詞 | 混合式開刀房; 腸系膜動脈剝離症; 經皮支架治療; Hybrid operating room; Mesenteric ischemia; Percutaneous endovascular stent placement; Spontaneous dissection; Superior mesenteric artery; |
語 文 | 英文(English) |
英文摘要 | A 54-year-old man with the initial diagnosis of thrombosis of the superior mesenteric artery (SMA) was referred to our hospital after a failure of conservative anticoagulant management for 3 days. Contrast-enhanced spiral computed tomography (CT) was used for diagnosis. Catheter-directed thrombolysis was then performed with little improvement of his symptoms of mesenteric ischemia. Severe abdominal pain, back pain and cold sweating occurred 3 days after thrombolysis. A repeated CT scan revealed further SMA dissection with true lumen compromise. Endovascular treatment was performed to restore the flow of the SMA. A Wallstent was deployed percutaneously and it successfully reestablished SMA patency. The postoperative course was uneventful, and the patient remained asymptomatic with a patent SMA stent 3 months after the procedure. To our knowledge, this is the first report of percutaneous stenting for the isolated spontaneous dissection of the SMA performed in the operating room (OR) with a C-arm, and provides more imagination about what a hybrid OR can do. |
本系統中英文摘要資訊取自各篇刊載內容。