True lumen stenting for a spontaneously dissected superior mesenteric artery may compromise major intestinal branches and aggravate bowel ischemia

LiuT.-J.; ChangC.-F.; LaiH.-C.; YaoH.-Y.; ChengY.-T.; LeeW.-L.; WangK.-Y.

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True lumen stenting for a spontaneously dissected superior mesenteric artery may compromise major intestinal branches and aggravate bowel ischemia

机译：自发性肠系膜上动脉的真腔内支架置入可能损害大肠分支并加重肠缺血

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Optimal endovascular therapy for isolated superior mesenteric artery (SMA) dissection remains undetermined. Here, we report a 56-year-old male with ischemic bowel syndrome caused by such a serious vascular disease. He was treated with endovascular true lumen stenting yet got aggravated in bowel ischemia from unexpected jail of major intestinal branches perfused by the false lumen, requiring subsequent complex rewiring and dilatation procedures to resolve at the cost of excessive fluoroscopic and contrast medium exposure. Thus, when treating patients with isolated SMA dissection with a functioning false lumen, true lumen stenting may inadvertently compromise crucial intestinal branches and should not be indiscriminately considered as the prime therapeutic option.

机译：尚没有确定隔离肠系膜上动脉（SMA）的最佳血管内治疗方法。在这里，我们报告了由这种严重的血管疾病引起的缺血性肠综合征的56岁男性。他接受了血管内真管内支架治疗，但由于假管腔灌注的大肠分支意外入狱，肠缺血加重了病情，需要随后进行复杂的重新布线和扩张程序才能解决，但要以过度的透视和造影剂暴露为代价。因此，当用功能正常的假管腔治疗孤立性SMA夹层的患者时，真正的管腔支架置入可能会无意间损害关键的肠分支，因此不应将其胡乱地视为主要的治疗选择。

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《Vascular and endovascular surgery》 |2014年第1期|共3页
作者
LiuT.-J.; ChangC.-F.; LaiH.-C.; YaoH.-Y.; ChengY.-T.; LeeW.-L.; WangK.-Y.;
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正文语种 eng
中图分类心脏血管和淋巴系外科学;
关键词
artery; dissection; endovascular; ischemia; mesenteric; stenting;

机译：动脉;解剖;血管内;局部缺血;肠系膜;支架;

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专利

1. True lumen stenting for a spontaneously dissected superior mesenteric artery may compromise major intestinal branches and aggravate bowel ischemia [J] . LiuT.-J., ChangC.-F., LaiH.-C., Vascular and endovascular surgery . 2014,第1期

机译：自发性肠系膜上动脉的真腔内支架置入可能损害大肠分支并加重肠缺血
2. Endovascular Stent Grafting via the Left Radial Artery for a Spontaneous Isolated Dissecting Rupture of the Superior Mesenteric Artery [J] . Lee Ji Hyun, Ahn Sung Gyun, Yoon Junghan Korean Circulation Journal . 2012,第2期

机译：通过左Rad动脉自发性分离性肠系膜上动脉破裂破裂的血管内支架移植。
3. Acute mesenteric ischemia caused by spontaneous isolated dissection of the superior mesenteric artery: treatment by percutaneous stent placement. [J] . Leung DA, Schneider E, Kubik-Huch R, European radiology . 2000,第12期

机译：肠系膜上动脉自发分离引起的急性肠系膜缺血：经皮支架置入治疗。
4. Direct Superior Mesenteric Artery fenestration for Type B dissection with visceral ischemia [C] . Saitoh Y., Soeda T., Setozaki S., International Congress on Coronary Artery Disease. . 2013

机译：直接优越的肠系膜动脉衰减为B型解剖患者缺血缺血
5. Rapidly Aggravated Dissecting Flap by Angiography during Percutaneous Stent Placement for Acute Isolated Superior Mesenteric Artery Dissection [O] . Hye Jin Yang, Young Kwon Cho, Tae Jun Son, 2011

机译：急性隔离肠系膜上动脉夹层经皮支架置入术中通过血管造影快速加重解剖皮瓣
6. Rapidly Aggravated Dissecting Flap by Angiography during Percutaneous Stent Placement for Acute Isolated Superior Mesenteric Artery Dissection [O] . Yang, Hye Jin, Cho, Young Kwon, Son, Tae Jun, 2011

机译：急性隔离肠系膜上动脉夹层经皮支架置入术中通过血管造影快速加重解剖皮瓣
7. Superior Mesenteric Artery Occlusion Models Shock-Induced Gut Ischemia-Reperfusion. [R] . Kozar, R. A., Holcomb, J. B., Hassoun, H. T., 2004

机译：肠系膜上动脉闭塞模型休克诱导肠道缺血再灌注。

True lumen stenting for a spontaneously dissected superior mesenteric artery may compromise major intestinal branches and aggravate bowel ischemia

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