| 孤立性肠系膜上动脉夹层血管腔内治疗 |
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| 引用本文： | 黄文诺,吕朋华,张喜成,王立富,王书祥,孙陵,陈兆雷,耿素萍.孤立性肠系膜上动脉夹层血管腔内治疗[J].医学影像学杂志,2013(11):1740-1742. |
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| 作者姓名： | 黄文诺 吕朋华 张喜成 王立富 王书祥 孙陵 陈兆雷 耿素萍 |
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| 作者单位： | [1]扬州大学临床医学院介入科,江苏扬州225001 [2]扬州大学临床医学院血管外科,江苏扬州225001 |
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| 摘 要： | 目的 探讨孤立性肠系膜上动脉夹层（ISMAD）的DSA表现以及腔内治疗的疗效.方法 4例ISMAD患者,入院后48～96h经过保守治疗后腹痛症状缓解不明显,行肠系膜上动脉造影,后行血管腔内裸支架植入.结果 肠系膜上动脉造影显示肠系膜上动脉真腔变细小,部分对比剂通过破口进入假腔.4例患者共植入6枚裸支架,支架植入后造影显示破口封堵成功,支架腔内血流通畅,假腔消失.术后腹痛症状不同程度缓解,3天后腹痛均消失.结论 DSA是诊断ISMAD可靠的方法;腔内裸支架植入术治疗ISMAD安全、有效.
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| 关 键 词： | 肠系膜上动脉夹层 DSA 腔内治疗 |
Endovasculr treatment for isolated superior mesenteric artery dissection |
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| HUANG Wen-nuo,LV Peng-hua,ZHANG Xi-cheng,WANG Li- fu,WANG Shu-xiang,SUN Lin,CHEN Zhao-leiz,GENG Su-ping.Endovasculr treatment for isolated superior mesenteric artery dissection[J].Journal of Medical Imaging,2013(11):1740-1742. |
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| Authors: | HUANG Wen-nuo LV Peng-hua ZHANG Xi-cheng WANG Li- fu WANG Shu-xiang SUN Lin CHEN Zhao-leiz GENG Su-ping |
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| Institution: | 1. Department of Interventional Radiology, The Clinical Medical School of Yangzhou University, Yangzhou 225001, P. R. China 2. Department of Vascular Surgery, The Clinical Medical School of Yangzhou University, Yangzhou 225001, P.R. China |
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| Abstract: | Objective To evaluate the image of DSA and the endovascular treatment for isolated superior mesenteric ar- tery dissection （ISMAD）. Methods Percutaneous DSA of superior mesenteric artery and endovascular reconstruction with bare stents was carried out in four patients with ISMAD in this study, which had non-relief of abdominal pain under ex- pectant treatment. Results DSA revealed diminished true lumen and false lumen. Technical success with six bare stents was achieved in all four cases. The abdominal pain eased after procedure and disappeared gradually within 3 days. Conclu- sion DSA is the most reliable method for diagnosis of ISMAD. Percutaneous endovascular reconstruction with bare stents implantation is effective and reliable treatment for ISMAD. |
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| Keywords: | Superior mesenteric artery Dissection DSA Endovascular reconstruction |
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