腘动脉支架断裂伴支架内完全闭塞开放手术取出1例
Open Surgery for Popliteal Artery Stent Fracture with Total Occlusion in the Stent: A Case Report
DOI: 10.12677/ACM.2023.131101, PDF,    国家自然科学基金支持
作者: 苏晓雪, 袁晓庆：青岛大学，山东 青岛；王盼盼, 刘长青, 欧明辉*：青岛大学附属青岛市市立医院，山东 青岛
关键词: 腘动脉；支架断裂；支架内再狭窄；Popliteal Artery； Stent Fracture； In-Stent Restenosis
摘要: 支架内再狭窄(in-stent restenosis, ISR)是血管外科介入治疗术后常见的并发症，支架断裂是引起支架内再狭窄的危险因素之一，然而支架内完全闭塞在临床上较为罕见。本文报告了一例69岁男性腘动脉支架内完全闭塞，行动脉血栓抽吸与球囊扩张均未成功，最终行开放手术取出完全闭塞支架。患者动脉支架位置跨膝关节，是支架断裂的危险因素，在临床工作中应注意支架植入术后病人的随访及复查，避免因支架断裂造成的狭窄等不良后果，提高远期通畅率。
Abstract: In-stent restenosis (ISR) is a common complication after vascular surgical intervention. Stent frac-ture is one of the risk factors for in stent restenosis. However, complete stent occlusion is rare in clinical practice. This paper reported a 69-year-old man with popliteal artery completely occluded in the stent, but the arterial thrombus aspiration and balloon dilation were unsuccessful, and the stent was finally removed by open surgery. The patient’s artery stent position crosses the knee joint, which is a risk factor of stent rupture. In clinical work, attention should be paid to the fol-low-up and reexamination of patients after stent implantation to avoid adverse consequences such as stenosis caused by stent rupture and improve long-term patency rate.
文章引用：苏晓雪, 王盼盼, 刘长青, 袁晓庆, 欧明辉. 腘动脉支架断裂伴支架内完全闭塞开放手术取出1例[J]. 临床医学进展, 2023, 13(1): 695-700. https://doi.org/10.12677/ACM.2023.131101

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