血管内动脉修复后的2型内皮膜的跨腔线圈栓塞:一个机构审查
Gerald A Cheadle1, Amit J Dwivedi1, Erik J Wayne1
1Department of Surgery, University of Louisville, Louisville, KY, USA.
Vascular and endovascular surgery
|July 10, 2023
概括
穿线栓塞 (TCE) 是一种安全有效的治疗方法,用于在内血管大动脉修复 (EVAR) 后的2型内泄漏. 这种技术在最近的机构审查中显示了高的技术和临床成功率.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 血管内修复 血管内修复
背景情况:
- 2型内脏泄漏可能会使内血管大动脉修复复复杂化 (EVAR).
- 干预通常建议用于超过5毫米的囊生长.
- 跨腔线圈栓塞 (TCE) 是一种新兴的技术,用于管理这些内脏泄漏.
研究的目的:
- 报告一个机构的经验,以跨洞穴线圈栓塞 (TCE).
- 评估TCE在EVAR后的2型内泄症的安全性和有效性.
主要方法:
- 对接受TCE的11名患者的回顾性审查.
- 收集的数据包括人口统计,袋子生长,操作细节和结果.
- 技术上的成功:在完成血管造影后,EndoLeak解决方案. 临床成功:在随访CT时没有囊囊扩张.
主要成果:
- 91%的技术成功率 (10/11名患者).
- 80%的临床成功率 (8/10成功栓塞的患者) 在中位数为25个月的随访期.
- 没有报告立即或间隔并发症.
结论:
- 腔线圈栓塞 (TCE) 是一项有效和安全的选择,用于选择的患者,在EVAR后出现2型内泄漏.
- 有利的解剖学对于成功的TCE很重要.
- 需要进行更多的随访和更大的队列的进一步研究,以确认耐用性和有效性.
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