摘要
目的:探讨综合介入治疗在房颤导致的肠系膜上动脉栓塞的临床疗效.方法:回顾性分析我院2008-2011年收治的发生肠系膜上动脉栓塞的房颤患者(n=4),包括男(n=3),女(n=1),年龄65-78岁.先后采用经导管动脉溶栓/灌注术(TAF/TAI)、抽吸取栓术、经皮腔内血管成形术(PTA)及抗凝等综合介入治疗,评价其治疗疗效.结果:就诊时间为6-29h;3例肠系膜上动脉栓塞患者成功血管复通,其中1例复发并死亡,1例栓子移位到远端安全小分支内,0例外科手术,无治疗相关并发症.结论:综合介入治疗在房颤导致的肠系膜上动脉栓塞中操作简便,可迅速恢复动脉血运,提高了临床治愈率.
AIM： To evaluate the clinical value of comprehensive intervention in the management of superior mesenteric artery embolism caused by atrial brillation. METHODS： The clinical data for four patients who had superior mesenteric artery embolism caused by atrial fibrillation and underwent comprehensive intervention at our hospital from 2008 to 2011 were analyzed retrospectively. The comprehensive intervention consisted of transcatheter arterial fibrinolysis/infusion （TAF/ TAI）, suction embolectomy, percutaneous transluminal angioplasty （PTA） and anticoagulation. RESULTS： Treatment duration ranged from 6 to 29 hours. Vascular recanalization was achieved in three patients, of whom one died of recurrence. The embolus was moved to the distal branches in one patient. No patients received surgical operation, and no treatment-related complications occurred. CONCLUSION： Comprehensive intervention is safe and effective in managing superior mesen- teric artery embolism caused by atrial fibrillation.
出处
《世界华人消化杂志》
CAS
北大核心
2011年第30期3177-3181,共5页
World Chinese Journal of Digestology
基金
衡阳市科学技术发展计划基金资助项目
No.2011KS33~~
关键词
房颤
肠系膜上动脉栓塞
经皮腔内血管成形术
经导管动脉溶栓/灌注术
抗凝
Atrial fi brillation
Superior mesenteric artery embolism
Percutaneous transluminal angioplasty
Transcatheter arterial fibrinolysis/infusion
Anticoagulation
