本文選題：腸系膜動(dòng)脈　切入點(diǎn)：上　出處：《中國(guó)介入影像與治療學(xué)》2017年03期

【摘要】：目的探討血管腔內(nèi)裸支架成形術(shù)治療自發(fā)性孤立性腸系膜上動(dòng)脈夾層(SIDSMA)的安全性及有效性。方法回顧性分析經(jīng)CTA及DSA確診的15例SIDSMA患者的臨床資料。按照Yun分型將SIDSMA分為4型。所有患者均接受SMA腔內(nèi)裸支架成形術(shù),術(shù)后予抗凝治療2天及抗血小板治療6個(gè)月。術(shù)后1、6、12個(gè)月及以后每年1次進(jìn)行臨床癥狀及CTA隨訪。結(jié)果15例患者中Ⅰ型1例,Ⅱa型11例,Ⅱb型3例。技術(shù)成功率100%,共植入裸支架22枚,其中行單個(gè)裸支架植入8例,雙層裸支架重疊植入7例。隨訪時(shí)間5～51個(gè)月,平均(30.0±14.5)個(gè)月。隨訪期間未出現(xiàn)癥狀復(fù)發(fā)及與支架植入相關(guān)并發(fā)癥;CTA提示SMA支架通暢,夾層重塑。1例患者于術(shù)后7個(gè)月死于急性心臟疾病。結(jié)論血管腔內(nèi)裸支架成形術(shù)治療SIDSMA是一種安全、有效的方法。
[Abstract]:Objective to investigate the safety and efficacy of endovascular bare stent angioplasty in the treatment of spontaneous solitary superior mesenteric artery dissection (SIDSMA). Methods the clinical data of 15 patients with SIDSMA diagnosed by CTA and DSA were retrospectively analyzed. According to Yun classification, the clinical data of 15 patients with SIDSMA were analyzed retrospectively. SIDSMA was divided into 4 types. All patients were treated with SMA intracavitary bare stent angioplasty. The patients were treated with anticoagulant therapy for 2 days and antiplatelet therapy for 6 months. The clinical symptoms and CTA were followed up once a year for 1 month, 12 months and thereafter. Results among the 15 patients, 1 was type 鈪，

本文編號(hào)：1674932