康格洛尔在患有动脉瘤下arachnoid 出血的儿科患者的使用
Riccardo Russo1, Stefano Molinaro1, Francesco Mistretta1
1Department of Neuroscience, Neuroradiological Unit, University of Turin, Azienda Ospedaliera Città della Salute e della Scienza Hospital, Turin, Italy.
The neuroradiology journal
|November 22, 2024
概括
本案例研究详细介绍了一名患有破裂内动脉动脉瘤的儿科患者,该患者使用流量转移支架和线圈进行治疗. 使用康格罗尔和克洛皮多格雷尔的有效抗血小板治疗管理确保了没有并发症的成功结果.
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:
- 儿科患者的脑下结节下出血 (SAH) 可能是由于内动脉 (ICA) 动脉瘤破裂造成的.
- 复杂的动脉瘤解剖学为内血管治疗带来了挑战.
- 最佳的抗血小板治疗对于预防支架放置后的血栓和出血并发症至关重要.
研究的目的:
- 报告儿童SAH病例的成功内血管治疗,该病例是由破裂的ICA囊性动脉瘤引起的.
- 要突出使用流量转移支架与卷轴结合,以挑战动脉瘤形态.
- 讨论在急性环境中双重抗血小板治疗的管理.
主要方法:
- 血管内结合流量转移器支架放置,用于破裂的ICA囊性动脉瘤.
- 静脉注射康格洛尔,然后服用口服阿司匹林,然后过渡到克洛皮多格雷尔.
- 在小儿病患者中急性下关节出血的治疗.
主要成果:
- 流量转移器支架和线圈的成功部署,实现动脉瘤封闭.
- 干预期间或之后没有出现缺血或出血并发症.
- 术后24天,患者在没有症状的情况下出院.
结论:
- 流量转移器支架放置是治疗复杂儿科内动脉瘤的可行选择,即使在急性情况下.
- 谨慎的术前抗血小板管理,包括从康格罗尔转换为丁诺皮里丁,对于有利的结果至关重要.
- 这一案例强调了针对儿科神经血管紧急情况量身定制的内血管策略和细致的医疗管理的重要性.
相关概念视频
01:18Drug Delivery: Enteral Route
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
Drugs in...
Drugs in...
01:26Aneurysm III: Interprofessional Care
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
01:22Aneurysm IV: Nursing Management
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...