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Acceso directo a las venas intraabdominales, viabilidad, seguridad y aplicaciones clínicas
Mohammed A Amarneh1, Kyung Rae Kim1, Mohammed H Alomari1
1Division of Vascular and Interventional Radiology, Boston Children's Hospital and Harvard Medical School, Boston, MA.
Journal of vascular surgery. Venous and lymphatic disorders
|September 3, 2025
Resumen
El acceso directo percutáneo guiado por ultrasonido a las venas abdominales ectáticas es un método factible y seguro para la embolización de malformaciones vasculares. Esta técnica proporciona un enfoque valioso para acceder a las venas abdominales profundas en casos complejos.
Área de la Ciencia:
- Radiología intervencionista
- Cirugía vascular
- Imágenes médicas
Sus antecedentes:
- Las malformaciones vasculares a menudo requieren estrategias de tratamiento complejas.
- El acceso a las venas intraabdominales profundas puede ser un reto para los procedimientos de embolización.
Objetivo del estudio:
- Evaluar la viabilidad, seguridad y utilidad clínica del acceso directo percutáneo guiado por ultrasonido a las venas abdominales ectáticas.
- Evaluar esta técnica para la embolización de las malformaciones vasculares.
Principales métodos:
- Revisión retrospectiva de los expedientes médicos, imágenes y datos del procedimiento.
- Análisis de pacientes sometidos a embolización por malformaciones vasculares mediante acceso percutáneo guiado por ultrasonido a las venas intraabdominales.
- La inclusión de las venas pélvicas, retroperitoneal y portomesenteric.
Principales resultados:
- 38 accesos percutáneos directos en 25 procedimientos en 9 pacientes (de 3 a 58 años).
- Acceso exitoso a varias venas intraabdominales, incluidas las venas retroperitoneal y mesentérica.
- Todos los procedimientos fueron técnicamente exitosos con siete complicaciones menores, manejadas de forma conservadora.
Conclusiones:
- El acceso percutáneo guiado por ultrasonido a las venas intraabdominales dilatadas es factible y seguro.
- Este método demuestra una morbilidad mínima y ofrece una alternativa valiosa para las malformaciones vasculares complejas.
- Facilita el acceso a las venas abdominales profundas cuando otros métodos no son adecuados.
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