[在重复静脉中植入栓塞保护过器]
Ignacio M Cigalini1, Camila Petry1, Martin Najenson1
1Servicio de Cardiología Intervencionista y Tratamientos Endovasculares, Hospital Privado de Rosario, Rosario, Santa Fe, Argentina.
Medicina
|October 23, 2023
概括
偶尔在一个需要静脉血栓塞栓症治疗而没有抗凝药的患者身上发现了下腔静脉的罕见重复. 这导致植入两个栓塞保护过器,以确保足够的患者安全.
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:
- 静脉血栓栓塞性疾病需要抗凝药,但存在禁忌.
- 下腔静脉异常不常见,但在临床上具有重大意义.
- 静脉血栓塞栓症的标准治疗可能因解剖学变异而复杂化.
研究的目的:
- 报告一个下静脉膜重复病例.
- 为了突出这一异常对过器放置的影响.
- 强调识别罕见血管变异的重要性.
主要方法:
- 案例报告的呈现方式.
- 对诊断成像发现的审查.
- 介绍过器放置的干预程序.
主要成果:
- 在工作过程中偶然发现了下静脉膜重复.
- 成功植入两个栓塞保护过器.
- 展示这种罕见异常的管理策略.
结论:
- 下腔静脉重复是一种罕见的异常,可能影响治疗.
- 对这种异常的认识对于安全的下静脉膜镜植入至关重要.
- 适当的患者保护需要调整程序以适应血管变异.
相关概念视频
Venous Thrombosis III: Interprofessional Care
10
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
10
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
10
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
10
Hemodialysis I: Introduction
36
Hemodialysis (HD) is a medical treatment that artificially removes waste products, excess fluids, and toxins from the blood when the kidneys are no longer able to perform these functions effectively. In this process, blood is filtered through a semipermeable membrane, allowing for the selective removal of waste while preserving necessary components like blood cells and proteins. Hemodialysis is typically performed in patients with end-stage renal disease (ESRD) or severe kidney...
36
Endocarditis IV: Nursing Management
15
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
15
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
12
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
12
Venous Thrombosis I: Introduction
11
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
11


