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与关闭较大的血管的微血管塞系统相关的线圈:关于初步经验的技术说明
Fabio Salvatori1, Cinzia Mincarelli1, Paola Piccinni2
1Interventional Radiology, Ospedale Generale Provinciale di Macerata - Ast Macerata, Macerata, Italy.
Vascular
|March 13, 2025
概括
一种使用微血管插头 (MVPTM) 和可拆卸线圈的新技术成功地使较大的外围血管缩. 这种方法扩展了对超过9毫米的船只的MVPTM指示,显示100%的技术成功,没有迁移.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医疗器械 医疗器械
背景情况:
- MVPTM微血管插头系统旨在用于外周血管栓塞.
- 由于其形状和可交付性,目前的限制限制MVPTM的使用限制在≤9mm的船舶上.
- 需要一种新的技术来将MVPTM应用扩展到更大的口径船只.
研究的目的:
- 引入和评估使用MVPTM和可拆卸线圈的新栓塞技术.
- 为了评估使用这种修改方法治疗更大口径的外围容器 (大于9毫米) 的可行性.
- 确定该技术在防止插头迁移方面的安全性和有效性.
主要方法:
- 在没有脱落的情况下使用7-F用于MVPTM植入.
- 一个微导管并行导航用于可拆卸线圈的放置.
- 用MVPTM的裸体部分固定了线圈,以稳定插头并防止迁移.
- 这项技术在两名患有较大口径血管的患者中应用.
主要成果:
- 在这两种情况下,实现了100%的技术成功率.
- 在手术期间或之后没有报告任何并发症.
- 在一个月的随访期间,没有观察到MVPTM的迁移.
- 这种技术有效地封锁了目标船只.
结论:
- 这种新的技术成功地扩大了MVPTM系统的指示.
- 它可以有效地使大于9毫米的外周血管栓塞.
- 联合使用MVPTM和可拆卸线圈为具有挑战性的栓塞提供了安全和稳定的解决方案.
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