在取回血栓和嵌入式IVC过器的取回过程中,用于捕获超过器血栓的Protrieve盖的利用
Annabella Shewarega1,2, Taylor M Powell3, Douglas Silin4
1Department of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen (AöR), Hufelandstreet 55, 45147, Essen, Germany. annabella.shewarega@yale.edu.
CVIR endovascular
|October 26, 2023
概括
下腔静脉 (IVC) 过器可能导致血栓形成,使其去除复杂化. 一种新的Protrieve外套和Nitinol漏斗成功地移除了血栓化IVC过器,在手术期间预防了肺栓塞.
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:
- 下腔静脉 (IVC) 过器可以防止肺栓塞,但可能导致IVC血栓形成.
- IVC过器 (IVCFs) 的血栓形成,由于血栓塞栓症的风险,使其去除复杂化.
- 由于移除风险,现有的方法通常会留下临时过器.
研究的目的:
- 介绍一种新的技术,以安全地去除血栓化IVC过器.
- 为了减轻IVCF检索期间手术内血栓栓塞的风险.
主要方法:
- 一名患有血栓形成的IVCF的患者接受了内血管检索.
- 一个Protrieve罩和Nitinol漏斗被用来捕获动员的血栓.
- 该设备促进了同时进行IVCF和血栓去除.
主要成果:
- 成功的内血管去除嵌入的IVCF和附着的血栓.
- 这种新的方法有效地减轻了手术内肺栓塞的风险.
- 患者的病情得到了管理,没有从栓塞引起的并发症.
结论:
- 在IVCF检索过程中,Protrieve罩和Nitinol漏斗可以安全地捕获和去除血栓.
- 这种技术为管理血栓化IVC过器提供了一个有前途的解决方案.
- 它可以减少与过器移除相关的并发症,改善患者的治疗结果.
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
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
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


