医生修改的内分支内血管修复与重新干预
Shingo Tsushima1, Tsuyoshi Shibata2, Nobuyoshi Kawaharada2
1Department of Cardiovascular Surgery, Sapporo Central Hospital, Sapporo, Japan.
Vascular
|February 27, 2024
概括
对于胸腔腹腔大动脉动脉瘤,医生修改的内分支内血管修复 (PMiBEVAR) 可能会失败. 这一案例证明了使用线圈栓塞成功对PMiBEVAR内泄漏进行重新干预.
科学领域:
- 血管外科 血管外科
- 血管内修复 血管内修复
- 大动脉动脉瘤治疗方法
背景情况:
- 高风险患者的胸腔腹腔大动脉瘤 (TAAA) 带来了治疗挑战.
- 医生修改的内分支内血管修复 (PMiBEVAR) 越来越多地报告TAAA.
- 需要重新干预的内皮瘤是PMiBEVAR的严重并发症.
研究的目的:
- 报告PMiBEVAR故障再次干预的情况.
- 描述PMiBEVAR移植中内漏洞的管理方法.
主要方法:
- 一名75岁的男性患有克劳福德IVTAAA,接受了PMiBEVAR.
- 术后成像检查发现,右动脉供应脏动脉的内部分支的内脏泄漏.
- 再次干预是通过内腔的线圈栓塞进行的.
主要成果:
- 线圈栓塞成功地消除了内皮.
- 术后再干预成像证实了内皮的成功治疗.
结论:
- 对于PMiBEVAR失效的重新干预是可行的.
- 线圈栓塞可以成为PMiBEVAR后内泄漏的有效治疗方法.
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