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中华介入放射学电子杂志 ›› 2015, Vol. 03 ›› Issue (03) : 173 -175. doi: 10.3877/cma.j.issn.2095-5782.2015.03.015

所属专题: 经典病例 经典病例 文献

病例报告

导管抽吸治疗急性肾动脉栓塞二例报道与文献综述
陈奇峰1, 杨正强1,(), 贾振宇1, 施海彬1, 刘圣1   
  1. 1. 210029 南京医科大学第一附属医院介入放射科
  • 收稿日期:2014-08-06 出版日期:2015-08-01
  • 通信作者: 杨正强
  • Received:2014-08-06 Published:2015-08-01
引用本文:

陈奇峰, 杨正强, 贾振宇, 施海彬, 刘圣. 导管抽吸治疗急性肾动脉栓塞二例报道与文献综述[J]. 中华介入放射学电子杂志, 2015, 03(03): 173-175.

图1 患者1,女,82岁,急性右侧肾动脉栓塞,导管抽吸取栓治疗 增强CT显示右肾动脉主干完全闭塞,右肾实质灌注缺如(A~C);选择性右肾动脉造影示管腔内栓子、充盈缺损(D);导管抽吸(E)后,再次复查见原闭塞血管已恢复血流(F);5天后复查CTA显示,尽管患侧肾脏灌注较健侧稍差,右侧肾动脉保持开通状态,实质未见明显充盈缺损(G~I)
图2 患者2,女,64岁,右侧急性肾动脉栓塞,导管抽吸血栓联合溶栓治疗 上腹部增强CT,右侧肾动脉灌注缺损(A),右侧肾动脉栓塞(箭,B);动脉途径造影结果显示右肾动脉闭塞(箭,C);抽吸(D)术后,造影复查闭塞血管恢复血流(E);术后3天复查增强CT,右肾灌注较对侧减低、部分缺如,右侧肾动脉血流保持通畅(F~G)
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