应用Straub Rotarex导管治疗腹主动脉骑跨栓塞  

Endovascular therapy of aortic saddle embolism with percutaneous mechanical thrombectomy

作　　者：于宏志[1] 房杰[1] 高翔[1] 张喆[1] 刘彬[1] 李晨宇[1] 陈学明[1] 

机构地区：[1]首都医科大学附属北京友谊医院血管外科,北京100050

出　　处：《中国血管外科杂志（电子版）》2017年第1期21-26,共6页Chinese Journal of Vascular Surgery(Electronic Version)

摘　　要：目的总结腔内治疗腹主动脉骑跨栓塞(ASE)的经验和教训。方法回顾性分析2015年10月至12月北京友谊医院血管外科收治的3例ASE患者的临床资料,采用经皮机械血栓切除术的腔内技术治疗。结果血流再通后早期死亡2例,主要原因为高血钾引起的心搏骤停;存活1例,术后早期持续肾替代治疗,存活肢体血运良好。结论腔内治疗可以快速开通ASE血流,持续肾替代维持是存活的关键。Objective To summarize our experience in treating abdominal aorta saddle embolism(ASE) by endovascular therapy.Methods Clinical data of 3 cases of ASE treated by an endovascular approach using percutaneous mechanical thrombectomy(PMT) during Oct.2015 to Dec.2015 were reviewed and analyzed.Results After the blood flow being restored by endovascular therapy,2 died in the postoperative early stage because of sudden cardiac arrest due to hyperkalemia.With the early postoperative continuous renal replacement therapy,1 patient was cured,and the survival limb blood circulation was good.Conclusion Endovascular therapy can quickly restore blood flow in patients with ASE,while continuous blood purification is the key to survival.

关 键 词：腹主动脉骑跨栓塞 腔内治疗 经皮机械血栓切除术 连续性血液净化 

分 类 号：R654.3[医药卫生—外科学]