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在标准的EVAR之后,视频光学引导的囊造影和直接的囊栓塞

Luca Mezzetto¹, Lorenzo Grosso¹, Mario D'Oria²

¹Vascular Surgery, Integrated University Hospital of Verona, Verona, Italy.

Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists

|February 27, 2025

概括

视频显微镜引导的囊造影和直接囊栓塞 (ViSE) 提供了一种安全有效的治疗II型内 (T2EL) 在内血管动脉瘤修复 (EVAR) 后囊扩大后. 这种技术成功地治疗了阴茎和下半导体动脉,并确定了隐藏的内脏泄漏.

科学领域:

血管外科血管外科
干预性放射学干预性放射学
血管内动脉瘤修复 (EVAR) 进行.

背景情况:

在EVAR之后的II型内 (T2EL) 带来了管理挑战,通常需要干预以扩大囊.
现有的T2EL治疗包括各种栓塞技术,但最佳策略仍在争论中.

研究的目的:

评估视频镜导向囊管学和直接囊管栓塞 (ViSE) 的T2EL和EVAR后囊扩大的疗效和安全性.

主要方法:

从2016年至2022年接受EVAR的患者的回顾性评估.
包括与ViSE治疗的T2EL和囊生长患者,不包括特定的禁忌.
分析程序时间,光镜时间,技术成功和结果.

主要成果:

在14名患者中,ViSE在87%的患者中取得了技术成功.
在50%的病例中进行了下半腹中枢动脉 (IMA) 绑定.
在35%的患者中发现了隐藏型I或III内脏漏洞,需要进一步的干预.

结论:

ViSE是一种安全有效的替代方案,用于管理EVAR后囊囊扩大的T2EL.
该技术有助于治疗巢穴和IMA,并检测隐藏的内脏漏洞.
ViSE扩大了内血管治疗选择,有可能改善结果并减少开放转化.

关键词:

埃瓦尔·埃瓦尔 (Evar Evar) 是一个人.这里是endoleakakak 的位置.laparoscopic 引导的萨科摄影拉巴罗斯科普指导的萨科摄影囊体栓塞 - 囊体栓塞

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