一种通过双陷穿孔技术重新通的尾动脉的慢性完全闭塞病例
Hirokazu Miyashita1, Kazuki Tobita2, Syuhei Uchida1
1Department of Cardiology, Heart Center, Shonan Kamakura General Hospital, Okamoto 1370-1, 2478533, Kamakura, Japan.
CVIR endovascular
|June 22, 2023
概括
一种新的双陷穿孔技术在标准内血管治疗失败时,成功治疗了复杂的骨骨慢性全闭症 (CTO). 这种方法为具有挑战性的病例提供了一个新的选择,可以实现长期的症状缓解.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 血管内治疗疗法 血管内疗法
背景情况:
- 长期全闭 (CTO) 在股骨-骨病变往往需要复杂的内血管治疗 (EVT).
- 虽然双向方法是有用的,但在某些CTO情况下,导线通道仍然具有挑战性.
- 本案例介绍了一种针对复杂的股骨 - 骨CTO的新型再进入技术.
研究的目的:
- 描述一个成功的重新进入技术,以挑战大腿骨CTO.
- 在复杂的案例中证明双陷穿孔技术的有效性.
主要方法:
- 一名79岁的女性患有雷瑟福第四类间歇性听症,接受了EVT,以治疗骨CTO.
- 传统的交叉技术失败了;采用双陷穿孔技术,使用前级和后级访问.
- 一个导线被外化,一个微导管被推进,病变被覆盖和交织的支架治疗.
主要成果:
- 双陷穿孔技术成功地实现了通过复杂的CTO的导线通道.
- 患者在手术后经历了症状改善.
- 在2年的随访期间,没有观察到复原.
结论:
- 双陷穿孔技术是一种潜在的有效方法,可以挑战大腿骨CTO.
- 当传统方法失败时,这种技术提供了一个可行的解决方案.
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