我是如何做到的:为患有慢性肢体威胁性缺血症的患者提供踏板接入和踏板环再血管化
Marcos T Kuroki1, Umang M Parikh1, Venita Chandra1
1Division of Vascular Surgery, Department of Surgery, Stanford University School of Medicine, Stanford, CA.
概括
对于无法接受绕道手术的慢性肢体威胁性缺血患者,逆行踏板接入和踏板-脚部循环技术为复杂的脚下部疾病提供安全有效的内血管治疗选择. 这些方法实现了高的技术成功率,有助于肢体的救援.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 血管内干预 血管内干预
背景情况:
- 慢性肢体威胁性缺血症 (CLTI) 不成比例地影响患有糖尿病和功能衰竭等并发症的老年患者.
- 在CLTI患者中,复杂的膝下和脚下疾病模式往往排除了传统的内血管干预和外科绕道.
- 这些具有挑战性的病例需要先进的技术来成功挽救肢体.
研究的目的:
- 描述在CLTI中进行内血管干预的逆行踏板接入和踏板-脚部循环技术.
- 突出这些技术在不适合外科绕道手术的患者中的实用性和安全性.
- 为了分享在肢体救援中成功应用的实用技巧和技巧.
主要方法:
- 对使用逆行踏板接入或踏板-脚部循环技术进行CLTI内血管干预的患者的回顾性审查.
- 详细描述程序步骤,包括访问策略和设备选择.
- 分析技术的成功率和在复杂的脚以下疾病模式中的应用.
主要成果:
- 在熟练的手中,逆行踏板接入和踏板-脚踏环技术都显示出高的技术成功率.
- 反向踏板接入对于失败的前级治疗,困难的沟接入或作为组合前级-逆向干预措施的辅助非常有价值.
- 踏脚-脚部循环技术使得逆行骨血管可以在没有直接刺穿的情况下进入,并促进了踏脚-脚部弓的治疗,从而有可能改善伤口愈合.
结论:
- 逆行踏板接入和踏板 - 脚下环技术是复杂的脚下疾病的CLTI患者的安全和有效的内血管选择.
- 这些先进的技术扩大了在无法接受传统绕道手术的患者中挽救四肢的治疗可能性.
- 对于血管专家来说,掌握这些方法对于管理具有挑战性的CLTI病例至关重要.
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