沙芬静脉移植伪动脉瘤用覆盖式支架治疗
Jay N Patel1, David R Anderson2, Muhammad S Ghauri3
1Cardiothoracic Surgery, California University of Science and Medicine, Colton, USA.
Cureus
|August 19, 2024
概括
沙芬静脉移植伪动脉瘤是冠状动脉旁路移植的罕见并发症,可能危及生命. 这一案例突出了使用覆盖式支架的成功的最小侵入性治疗方法,为高风险患者提供了更安全的替代方案.
科学领域:
- 心血管外科心血管外科
- 干预心脏病学 干预心脏病学
- 血管外科 血管外科
背景情况:
- 沙芬静脉移植 (SVG) 伪动脉瘤是冠状动脉旁路移植 (CABG) 后的罕见但严重的并发症.
- 对SVG伪动脉瘤的治疗选择缺乏最终的共识,这给患者管理带来了挑战.
- 对于高风险的手术候选人来说,越来越多地考虑最小侵入性方法.
研究的目的:
- 报告之前心脏手术的患者偶然发现的SVG伪动脉瘤病例.
- 用微创内血管技术描述SVG伪动脉瘤的成功治疗方法.
- 突出覆盖式支架在排除SVG伪动脉瘤方面的有效性.
主要方法:
- 一名77岁的男性患者有CABG病史和透管大动脉植入 (TAVI),出现了头.
- 计算机断层扫描血管造影 (CTA) 显示了一个SVG伪动脉瘤.
- 使用两个重叠的Viabahn覆盖的支架进行了微创性皮肤冠状动脉干预.
主要成果:
- 覆盖的支架成功排除了SVG伪动脉瘤.
- 患者很好地忍受了手术,避免了高风险的开放手术.
- 两个月后的后续成像证实了伪动脉瘤的完全封闭和位置良好的支架.
结论:
- 用覆盖式支架进行皮肤内血管支架是SVG伪动脉瘤的可行和有效治疗方法,特别是在不适合手术的患者中.
- 这种方法提供了一个不那么侵入性的替代方案,具有有利的短期结果.
- 进一步的研究可能会探索这种技术的长期疗效和更广泛的应用.
关键词:
冠状动脉动脉图 (Coronary Angiography) 是一种冠状动脉动脉图.冠状动脉绕道移植冠状动脉绕道移植血管内置手术 血管内置手术通过皮肤进行冠状动脉干预.石静脉移植是一种伪动脉瘤.更多相关视频
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