[1]徐一丁,蔡旭升,杨超,等.AngioJet机械抽栓联合置管溶栓在急性肾动脉栓塞中的应用[J].介入放射学杂志,2020,29(04):389-392.
 XU Yiding,CAI Xusheng,YANG Chao,et al.Application of AngioJet mechanical thrombus aspiration system combined with catheter-directed thrombolysis in treating acute renal artery embolism[J].journal interventional radiology,2020,29(04):389-392.
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AngioJet机械抽栓联合置管溶栓在急性肾动脉栓塞中的应用()

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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
29
期数:
2020年04
页码:
389-392
栏目:
临床研究
出版日期:
2020-05-08

文章信息/Info

Title:
Application of AngioJet mechanical thrombus aspiration system combined with catheter-directed thrombolysis in treating acute renal artery embolism
作者:
徐一丁蔡旭升杨超王孝运倪才方段鹏飞
Author(s):
XU Yiding CAI Xusheng YANG Chao WANG Xiaoyun NI Caifang DUAN Pengfei.
Department of Interventional Vascular Surgery, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu Province 215006, China
关键词:
【关键词】 AngioJet装置置管溶栓急性肾动脉栓塞
文献标志码:
A
摘要:
【摘要】 目的?评价AngioJet机械血栓清除系统联合置管溶栓(CDT)治疗急性肾动脉栓塞(RAE)的效果。方法?回顾性分析2016年1月至2018年6月苏州大学附属第一医院收治的8例急性RAE患者临床资料。所有患者治疗前均经腹部增强CT明确诊断,急诊接受AngioJet机械血栓清除系统抽栓联合CDT治疗,溶栓后24 h复查DSA造影,肾动脉主干及分支血流恢复满意后拔除溶栓导管,否则继续溶栓至48 h,复查造影后拔除溶栓导管。住院期间及出院后均予抗凝治疗,观察出院后1、3、6个月门诊随访结果。结果?8例患者均成功完成AngioJet机械血栓抽吸治疗,复查造影显示肾动脉主干完全再通,肾动脉主要分支仍可见充盈缺损;CDT 24 h后无明显血栓残留和狭窄,拔除溶栓导管。24 h内患者腰痛或腹痛症状明显缓解,住院期间未发生肾脏坏死、脏器出血、死亡等严重并发症。随访至6个月时患者肾动脉血流通畅、肾功能正常。结论?AngioJet机械抽栓联合CDT可迅速清除肾动脉主干及其主要分支动脉血栓形成,快速恢复肾脏血供,治疗急性RAE具有良好的安全性和有效性。

参考文献/References:

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备注/Memo

备注/Memo:
(收稿日期:2019-04-22)
(本文编辑:边?佶)
更新日期/Last Update: 2020-05-06