伪动脉瘤暂时栓塞作为一种新的方法来管理与导管相关的并发症
Temirlan Kh Gamzatov1, Aleksei V Kebriakov1,2, Alexei V Svetlikov1,2
1North-Western District Scientific and Clinical Center Named After L. G. Sokolov Federal Medical and Biological Agency - Vascular Surgery Department, Saint Petersburg, Russia.
Journal of vascular surgery cases and innovative techniques
|September 4, 2023
概括
一种新的微创技术,皮肤间的临时导线栓塞 (TGE),有效地治疗与导管相关的伪动脉瘤 (PSA). 这种安全高效的方法在所有七个病例中都实现了完全的血栓形成,提供了一个新的管理选择.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医疗器械 医疗器械
背景情况:
- 导管相关的伪动脉瘤 (PSA) 是侵入性血管手术的潜在并发症.
- 传统的治疗可能涉及开放式手术或更具侵入性的内血管技术.
- 需要对PSA进行最少的侵入性和有效的治疗选择.
研究的目的:
- 提出一种新的最小侵入性方法来管理与导管相关的伪动脉瘤 (PSA).
- 评估PSA治疗中穿皮临时导线栓塞 (TGE) 的技术可行性,安全性和有效性.
主要方法:
- 在超声波指导下,通过皮肤将0.018英寸的灵活导线插入PSA腔.
- 在PSA腔内达到血栓形成.
- 在成功栓塞后,移除导线.
主要成果:
- 穿皮临时导线栓塞 (TGE) 在所有七个病例中都是技术上可行的.
- 在所有接受治疗的患者中实现了PSA的完全血栓形成.
- PSA 血栓形成的持续时间从5到40分钟不等.
结论:
- 穿皮临时导线栓塞 (TGE) 是一种高度有效的治疗与导管相关的伪动脉瘤 (PSA).
- TGE为PSA管理提供了一种安全和最少侵入性的替代方案.
- 这种技术代表了干预性放射学武器库的宝贵补充.
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