- 期刊
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
摘要
一位54歲的吸煙男性由於腹痛，經電腦斷層診斷為上腸系膜動脈血栓症而轉診至本院，經導管指引血栓溶解術治療後病情無明顯進步。三天後腹痛突然加劇，二度電腦斷層檢查確診為上腸系膜動脈剝離症，並造成血管的狹窄。患者在混合式開刀房內，接受經皮支架的治療，有效的擴張血管並改善症狀。在手術三個月後支架仍維持暢通。
關鍵字
無資料並列摘要
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.
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