石栓塞用于在手术内破裂后挽救血液静止
Ryan Patrick Lee1, Orlando Diaz2, L Fernando Gonzalez3
1Johns Hopkins University School of Medicine, Baltimore, Maryland, USA ryan.p.lee@jhmi.edu.
Journal of neurointerventional surgery
|October 21, 2024
概括
这项研究介绍了Onyx液体栓塞作为在标准方法失败时在卷轴过程中进行手术内动脉瘤破裂的救援技术. 它详细介绍了一种最后的动作,用于在动脉瘤卷积后管理持续的对比扩散.
科学领域:
- 神经外科 神经外科
- 干预性神经辐射学
- 血管神经学 血管神经学
背景情况:
- 在动脉瘤卷绕过程中发生的手术内断裂,对治疗提出了重大挑战.
- 标准管理包括反凝血逆转,内压力控制和气球部署,但可能不足.
- 持续的对比扩散表明动脉瘤部破裂,需要使用替代策略.
研究的目的:
- 审查手术内动脉瘤破裂的管理.
- 呈现金体液体栓塞作为一个救援技术,用于持续的手术内动脉瘤破裂在卷曲.
- 为了展示奥尼克斯栓塞的技术来挽救血液静止.
主要方法:
- 对手术内动脉瘤破裂管理协议的审查.
- 在三个手术内动脉瘤破裂的病例中,展示了Onyx液体栓塞部署.
- 在Onyx栓塞过程中使用气球控制出血和保护母血管.
主要成果:
- 标准管理未能控制对比度扩散在所有三个提出的案例.
- 奥尼克斯液体栓塞成功地作为救援技术部署.
- 奥尼克斯的凝聚性和与气球的兼容性使其在这些具有挑战性的场景中更容易使用.
结论:
- 奥尼克斯液体栓塞是一种可行的最后的选择,用于管理与持续外流的手术内动脉瘤破裂.
- 该技术需要小心地使用气球,既可以控制出血,也可以保护母血管.
- 当标准卷轴和医疗管理不足时,这种救援方法可能是至关重要的.
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