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静脉内静脉支架技术用于凸性动脉损伤

Hossam Abdou¹, Rebecca N Treffalls¹, David P Stonko^1,2

¹R Adams Cowley Shock Trauma Center, University of Maryland Medical System, Baltimore, MD, USA.

|July 27, 2023

概括

动脉支架 (CAS) 对于形动脉损伤 (BCI) 需要个性化治疗. 转骨CAS适用于没有软血栓的症状患者,而TCAR为软血栓患者提供栓塞性保护.

科学领域:

血管外科血管外科
干预性放射学干预性放射学
神经外科神经外科

背景情况:

血管内 Carotid 动脉支架 (CAS) 方法已经进步,但安全性和有效性问题仍然存在于形心血管损伤 (BCI).
目前对BCI的治疗需要个性化的方法,没有明确的证据支持常规CAS.
在内血管手术中选择支架是根据正在处理的特定病理学来指导的.

研究的目的:

为BCI提供一种CAS的方法,利用流量转移支架等新技术.
讨论BCI患者的选择,医疗管理和复血管化技术.

主要方法:

在BCI中进行内血管干预的患者选择标准的审查.
讨论医疗管理,包括抗血栓和抗凝固药物治疗.
重新血管化技术的描述:输血性CAS,带有逆流的跨动脉重血管化 (TCAR) 和支架辅助卷轴.

主要成果:

转骨CAS适用于具有症状的BCI患者,病变进展迅速或大,不包括由于栓塞风险而患有软血栓的患者.
TCAR为BCI患者提供软血栓的栓塞保护.
支架辅助卷轴用于BCI中的大型伪动脉瘤.

结论:

选择性内血管干预在BCI患者的流量限制性病变或伪动脉瘤中实行,而没有抗血小板/抗凝剂治疗的禁忌.
持续的技术进步和研究将进一步澄清内血管干预在BCI治疗中的安全性和作用.

关键词:

粗的动脉损伤导致的伤害.冠状动脉支架冠状动脉支架这是内血管内血管的内血管.支架支架支架支架支架创伤的创伤创伤的创伤.

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