皮肤穿关节的系统端口分流
G Zemel1, B T Katzen, G J Becker
1Miami Vascular Institute, Baptist Hospital of Miami (Fla) 33176.
JAMA
|July 17, 1991
概括
帕尔马兹支架有效地创建了横性肝内移植系统分流,实现了门口减压,并解决了肝硬化患者的水出血. 所有的分流仍然是专利的,表明对门高血压并发症的安全有效治疗.
科学领域:
- 干预性放射学 干预性放射学
- 肝病学 肝病学是一种肝病学.
- 血管外科 血管外科
背景情况:
- 门高血压是肝硬化的严重并发症,往往导致危及生命的水出血.
- 创建跨内肝移植系统分流 (TIPS) 是门口减压的一个关键干预措施.
- 帕尔马兹气球可扩展支架是一种因其在TIPS程序中的实用性而受到调查的设备.
研究的目的:
- 评估Palmaz支架在创建横性肝脏内移植系统分流的有效性.
- 评估该方法的安全性和有效性,以实现门口减压.
- 为了确定对 portal高血压患者的水出血的影响.
主要方法:
- 在8名患有肝硬化,门高血压和静脉的患者中,进行了跨内肝移植系统的分流.
- 帕尔马兹支架用于在肝脏和门脉之间创建分流.
- 随访包括断路通透性的评估和监测复发性水出血.
主要成果:
- 在所有患者中都取得了成功的分流创建,将端口系统压力梯度从36mmHg降低到11mmHg.
- 在所有八名患者中,通过内镜确认了完整的静脉压缩减压.
- 在所有患者中,随访时间平均为5个月,遮门通透度保持不变.
结论:
- 使用Palmaz支架创建跨肠内肝移植系统的分流是通道减压的安全有效方法.
- 这种技术在治疗 Portal 高血压的继发性水出血方面表现有前途.
- 帕尔马兹支架促进了成功的TIPS创建,从而带来了显著的临床改善.
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