下肢伪动脉瘤及其干预性放射治疗:一个图片综述
Ranjan Kumar Patel1, Alamelu Alagappan1, Taraprasad Tripathy2
1Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India, 751019.
Emergency radiology
|June 19, 2023
概括
下肢伪动脉瘤 (PSA) 需要及时干预,以防止严重的并发症. 图像引导疗法为这些动脉损伤提供了最少的侵入性治疗选择.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 下肢伪动脉瘤 (PSA) 通常是创伤或阳性动脉损伤的结果.
- 未经治疗的PSA可以导致严重的并发症,包括质量效应,栓塞,感染和破裂.
研究的目的:
- 审查各种图像引导的干预性放射技术,用于管理下肢伪动脉瘤.
- 根据PSA特征,提供关于选择适当的最小侵入性方法的指导.
主要方法:
- 诊断成像,包括超声波 (USG) 和CT血管造影,在诊断和术前规划中起着至关重要的作用.
- 讨论的最小侵入性治疗方法包括USG导向的压缩,血栓注射,卷轴,粘合剂注射,支架移植和血管关闭装置.
- 技术是根据PsA的大小,子宽度,肤浅性和动脉可耗性量身定制的.
主要成果:
- 图像导向疗法提供了有效的,最少侵入性的替代方案,以开放手术的下肢PSAs.
- 压缩或血栓注射等特定技术适用于较小,肤浅的PSA.
- 线圈,粘合剂注射或支架移植用于更复杂或更大的伪动脉瘤,具体取决于动脉解剖.
结论:
- 干预性放射学为下肢伪动脉瘤提供了一系列有效的治疗方法.
- 选择正确的技术取决于详细的成像和了解伪动脉瘤的具体特征.
- 最少侵入性的方法可以改善患者的治疗结果,并减少对外科手术的需要.
相关概念视频
Aneurysm III: Interprofessional Care
12
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
12
Peripheral Artery Disease III: Interprofessional Care
13
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
13
Peripheral Artery Disease V: Postoperative Nursing Management
13
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
13
Aneurysm IV: Nursing Management
11
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
11
Varicose Veins II: Diagnostic Studies and Interprofessional Care
18
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
18
Aneurysm II: Clinical Manifestations and Diagnostic Studies
11
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
11


