完全通过皮肤的内血管脏异体移植救援常见阴动脉伪动脉瘤
Wessam Hassanein1, Eugene Schweitzer1, Shahab Toursavadkohi1
1Division of Vascular Surgery, Department of Surgery, University of Maryland Medical Center, Baltimore, MD.
Journal of vascular surgery cases and innovative techniques
|April 26, 2024
概括
脏移植后延迟的伪动脉瘤很少发生,但很严重. 一种创新的内血管技术成功修复了伪动脉瘤,保持了脏移植的功能,避免了冒险的开放手术.
科学领域:
- 血管外科 血管外科
- 移植医学 移植医学
- 干预性放射学 干预性放射学
背景情况:
- 移植后接受者动脉中延迟的伪动脉瘤是不常见但关键的并发症.
- 潜在的原因包括慢性类固醇使用,手术损伤或感染,需要立即干预以防止破裂.
研究的目的:
- 介绍一个成功的内血管修复的病例,延迟的伪动脉瘤在脏移植接受者.
- 突出一项创新的内血管技术,用于管理动脉附近的伪动脉瘤.
主要方法:
- 一个修改后的支架移植与 fenestration 用于血管内修复的伪动脉瘤.
- 伪动脉瘤位于脏动脉附近,与接受者的常见阴动脉相隔,在移植后4年被发现.
主要成果:
- 内血管方法成功排除了伪动脉瘤,保持了移植的功能.
- 这种最少的侵入性技术导致了短暂的住院时间,并避免了与开放性修复相关的风险.
结论:
- 内血管修复提供了一个安全有效的替代开放手术的脏移植后延迟的伪动脉瘤.
- 这一案例扩大了关于内血管管理的文献,强调了其对有利患者结果和移植挽救的潜力.
相关概念视频
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:25Hemodialysis I: Introduction
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...