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成功的内血管管理珊瑚礁大动脉闭塞
Natarajan Sekar1, Rahul Ralph Sima1, Archana Rajan1
1Department of Vascular and Endovascular Surgery, Kauvery Hospital, Luz Church Road, Mylapore, Chennai India 600004.
Indian journal of thoracic and cardiovascular surgery
|December 14, 2023
概括
内血管疗法提供了一种安全有效的替代方案,用于管理珊瑚礁主动脉,这是一个先前通过高风险手术治疗的复杂疾病. 这种方法在所有患者中取得了技术上的成功,改善了血压和肢体输液.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 血管内干预 血管内干预
背景情况:
- 穿风性血栓内切除术和绕道术是珊瑚礁大动脉封闭的传统治疗方法.
- 这些常规方法带有高死亡率,发病率和重新干预的风险,特别是在心力衰竭,高血压和功能障碍等并发病症的患者中.
- 由于对大动脉破裂和内脏缺血症的担忧,对内血管治疗的做法一直是谨慎的.
研究的目的:
- 评价珊瑚礁大脑血管内血管管理的安全性和有效性.
- 介绍使用微创手术管理10名患有这种具有挑战性的疾病的患者的经验.
主要方法:
- 对10名患有珊瑚礁主动脉的患者进行了回顾性分析,这些患者接受了内血管手术.
- 程序包括主动脉支架 (裸金属和覆盖),主动脉支架和动脉支架.
- 血管内光三在两个患有上大动脉封闭的病例中被使用.
- 所有手术都是在局部麻醉下进行的.
主要成果:
- 在所有10名患者中都取得了技术上的成功.
- 观察到成功的血压控制和增加的脚手臂指数 (ABI).
- 呈现的症状包括不受控制的高血压,慢性病,失效的音,和关键四肢缺血与组织损失.
- 伴随性疾病包括下/上大动脉封闭,内脏血管参与和动脉狭窄.
结论:
- 血管内管理是珊瑚礁大动脉的可行和有效治疗方法.
- 这种微创手术可以在局部麻醉下安全地进行,为高风险的开放手术提供了替代方案.
- 进一步的研究是有必要的,以探索长期的结果和扩大指示.
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