以内镜超声波为指导的血管干预:一篇综述 (附视频)
Praveer Rai1, Pankaj Kumar2, Umair Shamsul Hoda2
1Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226 014, India. praveer_rai@yahoo.com.
概括
现在内镜超声波 (EUS) 提供了精确的血管干预,包括门静脉接入用于诊断和治疗,如治疗胃静脉和伪动脉瘤. EUS正在扩大其在治疗肝病和胃肠道出血方面的作用.
科学领域:
- 胃肠病学和干预性内镜检查
- 血管干预 血管干预
- 肝病学 肝病学是一种肝病学.
背景情况:
- 内镜超声波 (EUS) 已经从诊断工具转变为干预模式.
- 以EUS为指导的血管干预,特别是涉及门静脉的干预,在诊断和治疗方面越来越突出.
- 这些技术对于肝功能评估,疾病预后和癌症管理至关重要.
研究的目的:
- 审查EUS引导的血管干预的当前和潜在的未来应用.
- 突出EUS在诊断和治疗各种血管疾病中的作用,包括静脉,伪动脉瘤和门静脉异常.
- 探索EUS在获取诊断样本和执行治疗程序方面的实用性.
主要方法:
- 关于EUS引导的血管干预的综合文献综述.
- 评估诊断和治疗应用在管理胃肠道出血,门高血压和恶性瘤.
- 分析诸如栓塞,压力梯度测量,血液采样和瘤切除等技术.
主要成果:
- 欧盟血管系统可用于诊断和治疗,包括测量门脉压梯度和抽取循环瘤细胞 (CTC) 的样本.
- 以EUS为指导的干预措施在治疗胃,伪动脉瘤和诊断门静脉瘤 (PVTT) 中显示出有效性.
- 新兴应用包括管理子宫外静脉,直肠静脉,Dieulafoy病变和潜在的心脏干预.
结论:
- 以EUS为指导的血管干预在胃肠病学和干预放射学方面取得了重大进展.
- EUS为复杂的血管问题提供最少的侵入性解决方案,改善患者的诊断和治疗结果.
- 以EUS为指导的血管干预的范围正在扩大,正在研究新的应用和增强的治疗能力.
相关概念视频
01:25Ultrasound II: Endoscopic Ultrasound and FibroScan
82
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
82
01:26Varicose Veins II: Diagnostic Studies and Interprofessional Care
4
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
4
01:26Endoscopic Procedures V: ERCP
119
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
119
01:20Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
3
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
3