关键词: Interventional radiology Vascular surgery

Mesh : Humans Mesenteric Artery, Inferior / diagnostic imaging Embolization, Therapeutic / methods Endoleak / etiology diagnostic imaging therapy Jejunum / blood supply surgery Male Aortic Aneurysm, Abdominal / surgery Ischemia / etiology Endovascular Procedures / methods adverse effects Tomography, X-Ray Computed Aged

来  源:   DOI:10.1136/bcr-2024-260330

Abstract:
We present a rare case of short-segment jejunal infarction following inferior mesenteric artery embolisation for type 2 endoleak in a patient who previously underwent endovascular repair of abdominal aortic aneurysm. Potential causes for the event might include thromboembolism or traumatic thrombosis of a jejunal branch of the superior mesenteric artery (SMA) caused by a buddy guide wire used to maintain the position of the long vascular sheath in the SMA hiatus. The condition was recognised on CT and treated with resection of the infarcted segment of the small bowel followed by primary anastomosis.
摘要:
我们介绍了先前接受过腹主动脉瘤腔内修复术的患者肠系膜下动脉栓塞2型内漏后短节空肠梗死的罕见病例。该事件的潜在原因可能包括血栓栓塞或肠系膜上动脉(SMA)空肠分支的创伤性血栓形成,由用于维持SMA裂孔中长血管鞘的位置的伙伴导丝引起。在CT上可以识别出这种情况,并通过切除小肠梗死段,然后进行原发性吻合来治疗。
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