皮肤透光血管整形和使用吸入导管支架的支架
Nobuaki Yamamoto1,2, Yuki Yamamoto1, Izumi Yamaguchi
1Department of Neurology, Tokushima University Hospital, Tokushima, Tokushima, Japan.
Journal of neuroendovascular therapy
|July 28, 2023
概括
吸入导管 (AC) 提供了一种解决方案,可以在皮肤透光血管造形术 (PTA) 期间防止远端栓塞,当导导导管的放置具有挑战性时. 这些案例证明了ACAC.
科学领域:
- 神经内血管程序 神经内血管程序
- 大脑血管干预措施
- 干预性神经放射学 干预性神经放射学
背景情况:
- 皮肤透光血管造形术 (PTA) 用于脊椎动脉狭窄.
- 在PTA期间预防远端栓塞至关重要.
- 吸入导管 (AC) 可以用于机械血栓切除术.
研究的目的:
- 评估吸入导管 (AC) 作为PTA期间用于内脊椎动脉动脉硬化病变的中间工具的实用性.
- 报告了两个案例,其中ACs成功地用于防止远端栓塞并促进PTA.
主要方法:
- 介绍了PTA对内脊椎动脉狭窄的两个病例.
- 在PTA期间,用于机械血栓切除和手动吸入,使用了吸入导管 (AC).
- 案例1涉及PTA和脊椎动脉狭窄症的支架.
- 案例2涉及紧急的机械血栓切除术,其次是PTA和支架,用于基底动脉封闭.
主要成果:
- 这两种涉及内脊椎动脉动脉硬化病变的PTA病例均使用AC成功完成.
- 在这两种情况下都没有观察到任何并发症,例如远端栓塞或新的心脏病发作.
- 电流方便手动吸入,有助于在手术过程中去除凝块和碎片.
结论:
- 吸入导管 (AC) 可以是一个有价值的工具,以防止在PTA期间的远端栓塞,当导导导管放置是困难的.
- 在复杂的血管干预中,ACs作为机械血栓切除和吸入的有效中间导管.
- 在这些内脊椎动脉PTA病例中使用AC证明了安全有效的方法.
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