在血管内大动脉修复失败后进行复杂的内泄治疗
Jan Raupach1,2, Jan Masek3, Sindharta Venugopal3
1Department of Radiology, University Hospital Hradec Kralove, Sokolska 581, Hradec Kralove, 50005, Czech Republic. jan.raupach@fnhk.cz.
CVIR endovascular
|July 5, 2023
概括
内血管动脉瘤修复 (EVAR) 并发症,如内脏泄漏 (ELs),需要紧急干预. 烟技术为即将发生的腹腔大动脉动脉瘤 (AAA) 破裂提供了一个解决方案,当专业的移植无法使用时.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 内血管动脉瘤修复 (EVAR) 对于腹腔大动脉瘤 (AAA) 越来越受欢迎.
- 与开放修复相比,Evar在某些患者中提供了降低的死亡率和发病率.
- 末 (ELs) 是EVAR的一个显著并发症,需要及时治疗以防止AAA囊破裂.
研究的目的:
- 描述高风险类型IA内脏病的紧急内血管管理.
- 介绍一个使用烟技术进行内漏管理的案例.
- 为突出II型内泄症的替代治疗方法.
主要方法:
- 在EVAR后7年的一位多症患者的IA型内泄漏的紧急内血管治疗.
- 将近位支架移植 (SG) 延伸和SG并行植入右动脉 (烟技术).
- 在随后的II型内皮泄漏时,通过腹腔的AAA囊穿刺和血栓栓塞.
主要成果:
- 成功的紧急内血管修复高风险类型IA内脏病.
- 通过栓塞有效管理II型附带内泄漏.
- 展示烟技术在紧急情况下的实用性.
结论:
- 内皮瘤 (ELs) 可能需要紧急干预,通常需要专门的支架移植 (SGs).
- 烟技术使得可以使用随时可用的SG来控制漏洞.
- 这种方法在即将发生的腹腔大动脉瘤 (AAA) 破裂的情况下至关重要.
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