Solitaire FR型支架用于肠系膜上动脉栓塞取栓6例临床研究

目的探讨应用Solitaire FR型支架进行急性肠系膜上动脉取栓的效果和安全性,为肠系膜上动脉栓塞病例的治疗探索更安全、有效的方法。方法回顾性分析2015年1月至2018年6月山东省滨州市人民医院收治的6例借助Solitaire FR型支架行肠系膜上动脉腔内取栓或联合置管溶栓的肠系膜上动脉栓塞病人资料。结果6例病人均成功取出肠系膜上动脉内血栓,无肠系膜上动脉夹层等并发症;5例病人术后肠系膜上动脉恢复血流,无肠坏死;1例病人出现局灶性肠壁坏死,经开腹探查、肠坏死切除后恢复。结论 Solitaire FR型支架行肠系膜上动脉取栓可迅速恢复肠系膜上动脉血流,治疗肠系膜上动脉急性栓塞较为安全、微创、有效。

Treatment of superior mesenteric artery embolism by percutaneous mechanica thrombectomy with the Solitaire FR stent system

Treatment of superior mesenteric artery embolism by percutaneous mechanica thrombectomy with the Solitaire FR stent system ZHANG Cheng-de, XIA Feng-fei, HUANG Ping-chao, et al. Department of Vascular Surgery, Binzhou City People’s Hospital, Binzhou 256600, China
Corresponding author: ZHANG Cheng-de, E-mail: zhangchengde@126.com
Abstract Objective To evaluate the technical feasibility，safety，and clinical outcome of mechanical thrombectomy with Solitaire FR stent system for embolic occlusion of the superior mesenteric artery （SMA）. Methods The clinical data of 6 patients with embolic occlusion of the SMA treated by mechanical thrombectomy with Solitaire FR stent system between January 2015 and June 2018 in Binzhou City People’s Hospital were analyzed retrospectively. Results Superior mesenteric artery occlusion was initially diagnosed by computed tomography （CT） in all patients. A successful thrombus removal of superior mesenteric arterial by Solitaire FR stent system was observed in the 6 patients. Five patients had recovered well after operation and no complications such as artery dissection，perforation and hemorrhage or intestinal ischemia. One patient underwent bowel resection. Conclusion The arterial mechanical thrombectomy with solitaire FR stent system are characterized with high rate of recanalization，fine security，minimal invasion and less complications in patients with acute superior mesentericvarterial embolism.