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- Lower Extremity Arterial Occlusive Disease As a Rare Complication of Crohn’s Disease
- 作者:刘昌伟|发布时间:2010-06-22|浏览量:551次
Objective To investigate the clinical characteristics and treatment strategy of lower extremity arterial
occlusive disease in patients with Crohn’s disease (CD).
Methods Clinical information of 9 cases suffering from lower extremity arterial occlusion and CD
was investigated retrospectively.北京协和医院血管外科中心刘昌伟
Results All the cases were less than 50 years old and the most were females (8/9). Arterial occlusions
occurred in either active (5/9) or inactive (4/9) stage of CD. Besides the arteries of lower extremities,
other arteries could also be involved such as aorta, iliac artery, renal artery or mesentery artery. Seven cases
had atherosclerotic imaging findings (4 had aortic plaques and 6 had iliac artery stenoses). Embolectomy or
thromboendarterectomy were mostly performed. Four (44.4%) cases had recurrent lower limb ischemia.
Conclusions Arterial occlusive disease is a rare extraintestinal manifestation of CD. A thorough inspection
of aorta is necessary. Embolectomy is mostly preferred. Anticoagulation treatment is highly recommended
after the operation.
occlusive disease in patients with Crohn’s disease (CD).
Methods Clinical information of 9 cases suffering from lower extremity arterial occlusion and CD
was investigated retrospectively.北京协和医院血管外科中心刘昌伟
Results All the cases were less than 50 years old and the most were females (8/9). Arterial occlusions
occurred in either active (5/9) or inactive (4/9) stage of CD. Besides the arteries of lower extremities,
other arteries could also be involved such as aorta, iliac artery, renal artery or mesentery artery. Seven cases
had atherosclerotic imaging findings (4 had aortic plaques and 6 had iliac artery stenoses). Embolectomy or
thromboendarterectomy were mostly performed. Four (44.4%) cases had recurrent lower limb ischemia.
Conclusions Arterial occlusive disease is a rare extraintestinal manifestation of CD. A thorough inspection
of aorta is necessary. Embolectomy is mostly preferred. Anticoagulation treatment is highly recommended
after the operation.
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