肠系膜上动脉狭窄的腔内介入治疗4例
肠系膜上动脉狭窄;肠缺血;诊断;腔内介入治疗,宋盛晗,张望德,苑超,李谈,原标,王克勤,邢彤,张扬,通讯作者:,Endovascularinterventionaltreatmentofsuperiormesentericarteriesstenosis,S
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宋盛晗, 张望德, 苑超, 李谈, 原标, 王克勤, 邢彤, 张扬, 首都医科大学附属北京朝阳医院 北京市 100020
通讯作者: 宋盛晗, 100020, 北京市朝阳区白家庄路8号, 首都医科大学附属北京朝阳医院血管外科. ssh0212@sina.com.cn
电话: 010-85231886
收稿日期: 2007-03-05 接受日期: 2007-03-31
Endovascular interventional treatment of superior mesenteric arteries stenosis
Sheng-Han Song, Wang-De Zhang, Chao Yuan, Tan Li, Biao Yuan, Ke-Qin Wang, Tong Xing, Yang Zhang
Sheng-Han Song, Wang-De Zhang, Chao Yuan, Tan Li, Biao Yuan, Ke-Qin Wang, Tong Xing, Yang Zhang, Chaoyang Hospital Affiliated to Capital University of Medical Sciences, Beijing, 100020, China
Correspondence to: Sheng-Han Song, Department of Vascular Surgery, Chaoyang Hospital Affiliated to Capital University of Medical Sciences, 8 Baijiazhuang, Chaoyang District, Beijing 100020, China. ssh0212@sina.com.cn
Received: 2007-03-05 Accepted: 2007-03-31
Abstract
AIM: To discuss the diagnosis and treatment of ischemic enteropathy resulted from superior mesenteric arteries (SMA) stenosis and evaluate the safety and efficacy of endovascular interventional technique for SMA stenosis.
METHODS: Four cases with SMA stenoses were treated with percutaneous transluminal balloon angioplasty (PTA) and stent placement. During 3 to 32 months of following up, we observed the efficacy of endovascular interventional technique for SMA stenosis as well as the prognosis of patients.
RESULTS: PTA and stent placement were technically successful in all the cases. Among the 4 cases, 3 cases were implanted 1 stent respectively and 1 case was implanted 2 stents. After procedure, the symptoms were relieved in 3 cases within 1 week and their body weights increased to the ideal level during 3 to 6 months. The remaining one case obtained conspicuous alleviation of abdominal pain, but she still had the intermittent abdominal discomfort and her body weight didn’t increased markedly. One patient died from acute myocardial infarction in the 32th month after procedure and didn’t have recurrent symptoms when she was alive ......
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