对于支架植入器,进行了EUS引导的约会技术
Yongzhan Zhao1, Longwei Fang1, Yuxi Zhang2
1General Surgery, The Second Hospital of Hebei Medical University, China.
Revista espanola de enfermedades digestivas
|March 11, 2025
概括
在阻塞性黄中,内镜逆行性胆血管细胞造影 (ERCP) 失效可以通过EUS引导的约会技术 (EUS-RV) 进行管理. 在支架部署期间,引出导线的新技术提高了成功率.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 胆汁干预 胆汁干预
背景情况:
- 阻塞性黄通常需要胆道排水,当内镜逆行胆血管细胞造影 (ERCP) 没有成功时.
- 通过EUS指导的交会技术 (EUS-RV) 提供了一个替代方案,它涉及肝内胆道 (IHBD) 或肝外胆道 (EHBD) 的穿孔.
- 当IHBD没有扩张时,需要穿孔EHBD,特别是通过十二指肠 (D1或D2),但在十二指肠乳头附近植入支架可能具有挑战性.
研究的目的:
- 描述一项创新的技术,用于EUS-RV (EUS-RV) 引导的交会,以克服支架部署中的挑战.
- 提高ERCP失败的阻塞性黄患者EUS-RV的成功率.
主要方法:
- 该研究描述了EUS引导的约会技术 (EUS-RV) 作为阻塞性黄ERCP的替代方案.
- 当肝内胆道 (IHBD) 没有扩张时,重点是通过十二指肠 (D1或D2) 穿透肝外胆道 (EHBD).
- 为了促进植入,采用了一种创新的方法,即在支架部署期间同时提取导线,以促进植入.
主要成果:
- 修改后的技术解决了EHBD穿孔附近的十二指卵泡的支架植入的困难.
- 这种方法旨在在具有挑战性的情况下提高EUS-RV的可行性和成功.
结论:
- 在ERCP失败时,EUS-RV是阻塞性黄的可行替代方案.
- 在支架部署期间同时拉出导线的创新方法增强了EUS-RV程序,特别是在困难的EHBD穿孔.
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