一种新的穿皮技术,用于动脉-阴茎血栓切除术,而不会有栓塞的风险
Rosalinda D'Amico1,2,3, Thomas Wolff1,3, Sabine Richarz1,3
1University Hospital of Basel, Spitalstrasse 21, 4031 Basel, Switzerland.
Bioengineering (Basel, Switzerland)
|July 29, 2023
概括
这项研究引入了一种新的穿皮技术,用于大动脉-阴茎血栓切除术,该技术可以防止对重要器官和下肢的栓塞. 最初的结果显示,技术上的成功很高,并且没有外围栓塞,提供了更安全的最小侵入性选择.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 心血管医学 心血管医学
背景情况:
- 传统的手术血栓切除术带有对内脏动脉和胃下动脉栓塞的风险.
- 皮肤内血管技术可能会导致下肢的外周栓塞.
研究的目的:
- 描述一种用于减轻栓塞风险的新型冠状动脉-阴道结血切除术的穿皮技术.
- 介绍这种新技术的初步临床经验和结果.
主要方法:
- 通过皮肤在动脉中放置大孔罩,以遮住它们并保护下肢.
- 使用Fogarty导管通过外套遮住内脏和胃下动脉的起源.
- 采用血栓切除气球导管,将大动脉 - 阴茎血栓提取到外套中进行切除.
主要成果:
- 在8名患者 (平均年龄63岁) 进行了9次手术.
- 技术成功率为88.9% (9例中的8例).
- 所有患者在手术后都保持着可触摸的足部脉冲,没有外周栓塞的临床迹象.
结论:
- 这种新技术是一种微创和有效的补充,用于治疗大动脉-阴茎血栓事件.
- 它成功地防止栓塞,同时允许额外的内血管干预.
- 这种方法提供了一个更安全的替代方案,用于管理复杂的动脉 - 阴茎封闭性疾病.
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