PDF(Pubmed)
Abstract：
Subclavian and thyrocervical trunk pseudoaneurysms are rare pathologies and even more so when they occur simultaneously. Treatment of these vascular injuries can be done endovascularly or with open surgery. We present a novel two-stage, hybrid open and endovascular approach to the management of a healthy 41-year-old man with no personal or family history of connective tissue disorders, who presented with subclavian branch and thyrocervical trunk pseudoaneurysms complicated by brachial artery occlusion. The pseudoaneurysms were treated with microvascular plug deployment, followed by subclavian artery covered stenting, with treatment of the brachial occlusion via open thrombectomy with patch angioplasty. The patient recovered without any complications.
摘要：
锁骨下和甲状腺颈干假性动脉瘤是罕见的病理，当它们同时发生时更是如此。这些血管损伤的治疗可以通过血管内或开放手术进行。我们提出了一个小说两阶段，混合开放和血管内的方法来管理一个健康的41岁的男性没有结缔组织疾病的个人或家族史，表现为锁骨下分支和甲状腺颈干假性动脉瘤并发肱动脉闭塞。假性动脉瘤采用微血管塞展开治疗，接着锁骨下动脉覆盖支架置入术,通过开放血栓切除术和补片血管成形术治疗肱动脉闭塞。患者康复，无任何并发症。
