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.
概括
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.
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.
相关概念视频
Leaky Scanning
4.5K
During most eukaryotic translation processes, the small 40S ribosome subunit scans an mRNA from its 5' end until it encounters the first start AUG codon. The large 60S ribosomal subunit then joins the smaller one to initiate protein synthesis. The location of the translation initiation is largely determined by the nucleotides near the start codon as there may be multiple translation initiation sites present on the mRNA. Marilyn Kozak discovered that the sequence RCCAUGG (where R...
4.5K
Thevinin's Theorem
2.2K
Thévenin's theorem plays a pivotal role in electrical circuit analysis, offering a solution to the challenges posed by variable loads within a circuit. In practical applications, it is common to encounter circuits where certain elements remain fixed while others fluctuate, often referred to as the "load." A typical household electrical outlet serves as a prime example of a variable load, as it can be connected to a variety of appliances, each with its own unique electrical characteristics.
2.2K
Turbine-Governor Control
1.3K
Turbine-governor control is crucial for maintaining power system stability by balancing turbine mechanical power output with electrical load demand. This mechanism ensures that generator frequency and rotor speed are within acceptable limits during load variations. Turbine-generator units store kinetic energy due to their rotating masses; this energy is released to meet the load requirement when the load increases. The electrical torque of turbines rises to meet the demand, whereas the...
1.3K
Underflow Gates
565
Underflow gates are vital for controlling water flow in irrigation canals. The three main types of underflow gates — vertical, radial, and drum gates — serve different purposes while ensuring effective flow management. Vertical gates move up and down, generating a free-flowing water jet; radial gates pivot to regulate the flow; and drum gates rotate for precise adjustments. The flow through these gates is influenced by downstream conditions, resulting in free or drowned outflow.Free and...
565
Adjusting a Traverse
480
In the site survey of a four-sided traverse, internal angles are essential to ensure geometric accuracy. The survey revealed that the sum of the measured internal angles was 359 degrees and 48 minutes, which is 12 minutes less than the expected 360 degrees. This discrepancy signals an error likely arising from measurement inaccuracies during the fieldwork.To rectify this error, the adjustment process involved distributing the 12-minute shortfall equally across the four internal angles. By...
480
Transient Ischemic Attack l: Introduction
34
A transient ischemic attack (TIA) is a brief episode of neurological dysfunction caused by a temporary, focal reduction in cerebral blood flow. Although symptoms resemble those of an ischemic stroke, the interruption in perfusion is short-lived and does not cause permanent infarction. TIAs are clinically important because they often serve as early warning events for future stroke.Mechanisms of Transient Cerebral IschemiaTransient cerebral ischemia may arise through several mechanisms. One...
34


