在急需并行移植内血管修复过程中进行初级手术内栓塞,在帕拉维塞拉性症状性大动脉伪动脉瘤中进行
Paolo Spath1,2,3, Federica Campana1, Enrico Gallitto1,2
1Vascular Surgery, Department of Medical and Surgical Sciences (DIMEC), University of Bologna, Bologna, Italy.
EJVES vascular forum
|January 13, 2025
概括
主要手术内栓塞是一种安全有效的技术,用于在并行移植修复过程中治疗复杂的垂体大动脉伪动脉瘤和沟通道. 这种方法成功排除了大动脉病变,在标准选择有限时提供了可行的解决方案.
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:
- 垂体大动脉损伤对内血管修复构成重大挑战.
- 症状性伪动脉瘤需要有效的治疗策略来预防破裂和并发症.
研究的目的:
- 为了评估在平行移植 (PG) 修复中进行的初级手术内栓塞的安全性和有效性,用于对关大动脉伪动脉瘤.
- 评估复杂的伪动脉瘤和相关的沟通道的栓塞结果.
主要方法:
- 对患者进行PG修复的回顾性分析,用于对视膜大动脉伪动脉瘤 (2017年4月至2021年6月).
- 使用烟或潜望镜配置与胸内移植的内血管修复.
- 在移植后部署的伪动脉瘤和沟通道的手术内线圈栓塞.
主要成果:
- 在六名具有高手术风险的患者中,技术和临床成功率为100%.
- 在大多数情况下,成功排除了伪动脉瘤和专利向内脏血管 (TVVs).
- 随访时间中位数为17个月,没有内脏漏洞的证据;一个目标内脏血管封闭 (6%).
结论:
- 主要的手术内栓塞是一种安全有效的补充,用于平行移植修复关大动脉伪动脉瘤.
- 这种技术为复杂的大动脉病变提供了可行的解决方案,当标准内血管选择有限时.
- 可以成功管理伪动脉瘤和沟通道,改善患者的治疗结果.
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