[1]郭伟.慢性系膜动脉缺血的腔内治疗:我们理解了多少[J].介入放射学杂志,2010,(09):673.
GUO Wei.The endovascular therapy of chronic mesenteric ischemia:how much have we known so far[J].journal interventional radiology,2010,(09):673.
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慢性系膜动脉缺血的腔内治疗:我们理解了多少()
《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]
- 卷:
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- 期数:
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2010年09期
- 页码:
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673
- 栏目:
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专论
- 出版日期:
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2010-09-15
文章信息/Info
- Title:
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The endovascular therapy of chronic mesenteric ischemia:how much have we known so far
- 作者:
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郭伟
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100853北京解放军总医院血管外科
- Author(s):
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GUO Wei
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Department of Vascular Surgery,General Hospital of PLA,Beijing100853,China Corresponding author:GUO Wei,E-mail:pla301dml@vip.sina.Com
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- 关键词:
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系膜动脉缺血; 球囊扩张血管成型; 系膜动脉支架; 肠坏死
- 分类号:
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R543.5
- 文献标志码:
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A
- 摘要:
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收集并总结慢性系膜动脉缺血腔内治疗的临床资料。以“系膜动脉缺血”、“球囊血管成形”、“系膜动脉支架”和“肠坏死”为主题词经Medline搜索相关文献,对腔内治疗大于5例的文献进行分析。分析16个系列研究共328例患者。所有治疗指征都是症状型系膜动脉狭窄。治疗成功率91%。75%患者症状消失且不需要再次干预治疗。28%患者随访中发现再狭窄。9%出现了并发症,包括夹层、远端栓塞、中转为传统手术、感染及穿刺点部位血栓和出血等。30d病死率3%。腔内治疗系膜动脉狭窄或闭塞安全、有效,支架植入有更高的技术成功率。但即使是腔内治疗非常成功,依然有三分之一的患者可能出现再狭窄。
参考文献/References:
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[3]Cho JS,Carr JA,Jacobsen G,et al.Long-term outcome after mesenteric artery reconstruction:a37year experience[J].J Vasc Surg,2002,35:453-460.
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[9]Schaefer PJ ,Schaefer FK,Murller-Huelsbeck S,et al.Chronic mesenteric ischemia:stenting of mesenteric arteries[J].Abdom Imaging,2007,32:304-309.
[10]Silva JA,White CJ ,Collins TJ ,et al.Endovascular therapy for chronic mesenteric ischemia[J].J Am Coll Cardiol,2006,47:944-950.
[11]Brown DJ ,Schermerhorn ML ,Powell RJ ,et al.Mesenteri stenting for chronic mesenteric ischemia[J].J Vasc Surg,2005,42:268-274.
[12]McAfee MK,Cherry KJ Jr,Naessens JM,et al.Influence ofcomplete revascularization on chronic mesenteric ischemia[J].Am J Surg,1992,164:220-224.
[13]Rose SC,Quigley TM,Raker EJ.Revascularization for chronic mesenteric ischemia:comparison of operative arterial bypass grafting and percutaneous transluminal angioplasty[J].J Vasc Interv Radiol,1995,6:339-349.
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备注/Memo
- 备注/Memo:
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收稿日期:2010-06-18
更新日期/Last Update:
2010-09-15