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在0区降落后支架移植崩胸部内血管大动脉修复
Daisuke Arima1, Kazuchika Suzuki1, Yumi Kando1
1Department of Cardiovascular Surgery, Fujieda Municipal General Hospital, Fujieda, Shizuoka, Japan.
Annals of vascular diseases
|October 2, 2023
概括
对大动脉动脉瘤进行胸内血管大动脉修复可以导致诸如支架移植崩等并发症. 这一案例凸显了在此类程序后需要保持警和迅速干预的必要性.
科学领域:
- 心血管外科心血管外科
- 血管外科 血管外科
- 医疗器械并发症 医疗器械并发症
背景情况:
- 囊性大动脉动脉瘤带来了重大风险.
- 胸内血管大动脉修复 (TEVAR) 是对大动脉动脉瘤的一种治疗选择.
- 在TEVAR后出现的并发症需要仔细监测和管理.
研究的目的:
- 为了报告TEVAR的罕见并发症.
- 突出早期诊断和干预对于支架移植失败的重要性.
- 讨论TEVAR相关并发症的管理策略.
主要方法:
- 一个69岁的男性患者的病例报告.
- TEVAR与一个区域0降落为一个状大动脉动脉瘤.
- 术后计算机断层扫描 (CT) 扫描用于诊断支架移植崩.
- 紧急外科干预,包括全弓置换和支架移植切除.
主要成果:
- 患者在TEVAR治疗后7天出现意识减弱和下肢.
- 脑电图扫描显示,胸腔支架移植的完全崩.
- 进行了成功的紧急全门置换和支架移植切除.
结论:
- 支架移植的崩是TEVAR的潜在严重并发症.
- 及时诊断和手术干预对于管理TEVAR并发症至关重要.
- 对TEVAR设备完整性和长期结果的进一步研究是有必要的.
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