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提示,一个技巧,用于跨洞穴TEVAR访问.

Toon Kuypers1, Sabrina Houthoofd1, Geert Maleux2

  • 1Department of Vascular Surgery, University Hospital Leuven, Leuven, Belgium.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists
|November 13, 2024
PubMed
概括
此摘要是机器生成的。

这项研究介绍了一种新的穿通道技术,用于胸内血管大动脉修复 (TEVAR),使用跨内肝移植系统 (TIPS) 针. 这种最少的侵入性方法在传统的访问方法失败时提供了可行的替代方案.

关键词:
一个奥托卡瓦尔囊.周围动脉疾病是什么胸内血管大动脉修复跨卡瓦尔的访问权限血管接入的途径.

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科学领域:

  • 血管外科 血管外科
  • 干预性放射学 干预性放射学
  • 大动脉疾病管理管理

背景情况:

  • 胸内血管大动脉修复 (TEVAR) 是对大动脉病理的标准治疗方法.
  • 传统的骨转移和骨转移通道并不总是可行的.
  • 对于复杂的案件而言,替代的访问方法至关重要.

研究的目的:

  • 描述一种替代方法,以实现TEVAR的跨腔通道.
  • 详细介绍一下用于大动脉通道的跨内肝内移植系统分流 (TIPS) 针的使用情况.
  • 通过覆盖的支架报告一个大动脉管的成功关闭.

主要方法:

  • 在患有穿透性动脉样性的患者中,使用TIPS针建立了跨门通道.
  • 接入站点逐渐扩大到22个法国大口径.
  • 一个胸部内移植被部署,和aortocaval囊被一个覆盖的支架关闭.

主要成果:

  • 通过跨腔接入实现了胸部内移植的成功部署.
  • 通过使用覆盖式支架,可以有效地关闭下脉腔囊.
  • 这种技术在常规访问失败时提供了最少的侵入性解决方案.

结论:

  • 使用TIPS针进行穿式访问是TEVAR的有价值和最少侵入性的替代方案,当标准访问是不可能的.
  • 使用覆盖式支架来关闭囊是首选的方法.
  • 术前规划对于成功的跨腔门接入程序至关重要.