血栓切除术和从跨动脉再血管化的伪动脉瘤的支架
Jason H Boulter1, Michael F Stiefel2, Eyal Ben-Aire3
1Department of Neurosurgery, Walter Reed National Military Medical Center, Bethesda, United States.
Surgical neurology international
|May 14, 2024
概括
横动脉复血管化 (TCAR) 可以导致罕见的并发症,如伪动脉瘤. 这一案例突显了TCAR后延迟的M1大型船封闭,强调了需要保持警的必要性.
科学领域:
- 血管外科 血管外科
- 神经学 神经学
- 干预性放射学 干预性放射学
背景情况:
- 穿动脉复血管化 (TCAR) 是一种正在发展的治疗心血管狭窄症的方法.
- 有限的文献详细介绍了与TCAR相关的并发症.
- 这项研究解决了TCAR后的一个特定的,延迟的并发症.
研究的目的:
- 在TCAR后报告一个延迟M1大血管封闭的病例.
- 为了说明一种罕见的并发症,涉及TCAR接入点的伪动脉瘤.
- 强调识别和管理TCAR相关风险的重要性.
主要方法:
- 一名患有症状的,高度的动脉狭窄症的患者接受了TCAR.
- 手术后的血管造影显示,在动脉支架中出现了伪动脉瘤和远端血栓.
- 使用支架回收器和吸入导管进行了机械血栓切除术.
主要成果:
- 通过机械血栓切除术成功实现了重血管化.
- 在TCAR接入站点发现了一个伪动脉瘤.
- 患者经历了延迟的M1大血管封闭.
结论:
- 虽然TCAR是有效的,但它带有风险,包括访问部位伪动脉瘤.
- 在TCAR后,可以出现延迟的神经事件.
- 对潜在并发症的认识对于患者的监测和管理至关重要.
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