关键词: Rotarex arterial thoracic outlet syndrome drug-coated balloon endovascular ischemia

来  源:   DOI:10.3389/fsurg.2022.951956   PDF(Pubmed)

Abstract:
UNASSIGNED: Acute upper limb ischemia in a patient with thoracic outlet syndrome is a rare but serious clinical disorder. If the disease is not treated promptly due to underdiagnosis, it could lead to distal artery embolization and limb-threatening ischemia. Revascularizing upper extremity arteries in a timely manner could rescue ischemic limbs and improve the patient\'s quality of life. We reported here a case of a patient who presented with bilateral upper limb ischemia caused by arterial thoracic outlet syndrome.
UNASSIGNED: A 63-year-old woman who presented with sudden bilateral upper extremity cold, numbness, pulselessness, and altered temperature sensation was first diagnosed with arterial thoracic outlet syndrome. The patient had performed a lot of pull-up and lat pull-down exercises in the 2 months prior to the onset of the above symptoms. Color Doppler ultrasonography showed thrombosis in the right axillary artery and left subclavian and axillary artery. The patient received Rotarex mechanical thrombectomy combined with drug-coated balloon percutaneous transluminal angioplasty (PTA) to complete revascularization of the upper extremities and achieved a full recovery finally.
UNASSIGNED: Complete endovascular revascularization for treating arterial thoracic outlet syndrome is a minimally invasive and effective method, especially for upper extremity ischemic lesions caused by nonbone compression.
摘要:
未经证实:胸廓出口综合征患者的急性上肢缺血是一种罕见但严重的临床疾病。如果由于诊断不足而导致疾病未得到及时治疗,它可能导致远端动脉栓塞和危及肢体的缺血。及时对上肢动脉进行血运重建,可抢救缺血肢体,提高患者的生活质量。我们在此报告一例患者,该患者因动脉胸腔出口综合征引起双侧上肢缺血。
未经证实:一位63岁的女性,突然出现双侧上肢感冒,麻木,无脉,温度感觉改变首先被诊断为动脉性胸廓出口综合征。患者在上述症状出现之前的2个月内进行了大量的上拉和下拉运动。彩色多普勒超声检查显示右腋下动脉和左锁骨下及腋下动脉血栓形成。患者接受Rotarex机械取栓联合药物涂层球囊经皮腔内血管成形术(PTA),完成上肢血运重建,最终获得完全康复。
UNASSIGNED:完全血管内血运重建治疗动脉性胸廓出口综合征是一种微创有效的方法,特别是对于非骨压迫引起的上肢缺血性病变。
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