相关实验视频
Updated: Jun 29, 2025

06:59
Laminectomy and Spinal Cord Window Implantation in the Mouse
Published on: October 23, 2019
12.1K
在局部麻醉下进行Wingspan支架系统内支架的临床经验
Mao-Shih Lin1, Chih-Wei Huang1,2, Yuang-Seng Tsuei1,2,3,4
1Department of Neurosurgery, Taichung Veterans General Hospital, Taichung, Taiwan.
Frontiers in neurology
|April 8, 2024
概括
使用Wingspan系统在局部麻醉下治疗症状性内动脉样硬化 (ICAD) 的内支架是安全有效的. 这种方法可以减少并发症,但穿孔性动脉狭窄的患者面临更高的风险.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
- 血管外科 血管外科
背景情况:
- 症状性内动脉样硬化症 (ICAD) 通过内血管方法治疗是有争议的,因为并发症率很高.
- 整体麻醉是常见的呼吸道保护,但防止实时的神经监测过程中程序.
- 局部麻醉有可能在内支架时进行直接的神经评估.
研究的目的:
- 评估ICAD用局部麻醉下使用Wingspan系统进行内支架的安全性和有效性.
- 在接受支架的ICAD患者中识别周围手术并发症的风险因素.
主要方法:
- 对45名连续ICAD患者的回顾性分析,这些患者接受了Wingspan支架的治疗.
- 在混合手术室中在局部麻醉下进行的手术.
- 持续的神经监测和分析周围手术并发症.
主要成果:
- 观察到周围手术并发症率为8.9%,死亡率为2.2%.
- 没有发生与手术相关的穿孔.
- 缺血性并发症与穿孔性动脉 (中脑动脉,基底动脉) 有关,与没有穿孔性动脉 (内动脉,脊椎动脉) 有关 (p=0.04).
结论:
- 在局部麻醉下进行翅膀伸展支架是ICAD患者选择的安全有效选择.
- 与全身麻醉相比,这种技术可能会降低手术病率.
- 意识到穿孔性动脉狭窄症患者的风险增加对于手术决策至关重要.
相关概念视频
Local Anesthetics: Clinical Application as Intravenous Regional Anesthesia
408
Intravenous regional anesthesia or the Bier block technique is used to anesthetize a specific limb or extremity. It uses exsanguinated or blood-drained vessels to transport local anesthetics or LAs to the peripheral nerve trunks. Lidocaine without vasoconstrictors like epinephrine is most commonly used for this technique. Other drugs used are prilocaine, ropivacaine, and chloroprocaine. Bupivacaine is not recommended for this technique due to its high cardiac toxicity.
One of the advantages of...
One of the advantages of...
408
Local Anesthetics: Clinical Application as Spinal Anesthesia
623
Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
623

