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使用聚氨覆盖的支架用于排除肺动脉静脉形形
Ryan C Adams1, Siddhi Hegde2, Patrick Sutphin3
1Interventional Radiology Division, Radiology Department, Massachusetts General Hospital, Boston, MA, USA. radams@mgh.harvard.edu.
Cardiovascular and interventional radiology
|January 5, 2024
概括
聚氨覆盖的支架提供了一种安全有效的解决方案,用于治疗肺动脉静脉形 (PAVMs),当栓塞是不可行的. 这种方法在排除具有挑战性食动脉的PAVM方面取得了很高的成功率.
科学领域:
- 干预性放射学 干预性放射学
- 心血管医学 心血管医学
- 肺部医学 肺部医学
背景情况:
- 肺动脉静脉形形 (PAVMs) 可以导致严重的并发症,如低氧化和中风.
- 传统的栓塞技术可能对具有短或曲的食动脉的PAVM无效.
研究的目的:
- 评估用于PAVM的聚氨覆盖支架 (PK Papyrus) 的安全性,技术成功和短期有效性.
- 评估这种支架作为一种替代品,当栓塞治疗不适合时.
主要方法:
- 对5名用聚氨覆盖的PAVMs支架治疗的患者进行了回顾性分析.
- 支架的指示是短/折的食动脉.
- 评估了安全性,技术成功和有效性 (不包括AVM).
主要成果:
- 植入支架的技术成功率为100%.
- 80%的AVM排除率与单一的支架;完全排除实现与重叠的支架.
- 在中位数为5个月的随访期间没有观察到支架迁移,血栓形成或骨折.
结论:
- 聚氨覆盖的支架在技术上是可行的,并且对PAVM排除是安全的.
- 这种支架为不适合传统栓塞的PAVM提供了短期的有效性.
相关概念视频
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The sternum is the elongated bony structure on the anterior side of the thoracic cage. It consists of three parts: the manubrium, the body, and the xiphoid process.
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Deoxygenated blood from the body is received in the right...
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Pneumothorax is a medical condition defined by the buildup of air in the pleural space between the lungs and the chest wall. This accumulation of air can lead to partial or complete lung collapse, resulting in a range of clinical manifestations. Understanding the clinical presentation and effective management strategies is crucial for healthcare professionals in providing timely and appropriate care to individuals with pneumothorax.
Clinical Manifestations:
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