脑静脉血栓的内血管治疗涉及深静脉系统的脑静脉血栓
Brent Morel1, Jessa Hoffman1, Christopher Roark1
1Department of Neurosurgery, University of Colorado School of Medicine, Aurora, CO, USA.
概括
在所有12名患者中,使用导管导向的altelplase输注的内血管治疗成功地重新道化了深脑静脉血栓症. 这种治疗改善了临床和放射性结果,即使在那些最初有严重神经学缺陷的人中也是如此.
科学领域:
- 神经学 神经学
- 干预性放射学 干预性放射学
- 血管医学 血管医学
背景情况:
- 大脑静脉血栓症 (CVT) 是一种罕见的中风原因,表面静脉鼻血栓症是最常见的.
- 深脑静脉系统血栓发作较少发生,但与严重的后果有关,包括死亡和残疾.
- 抗凝药是标准的,但对于耐火病例或管理脑静脉高血压,考虑进行内血管干预.
研究的目的:
- 评估对深脑静脉血栓瘤的内血管治疗的疗效和结果.
- 分析使用内血管方法治疗的CVT患者的临床和放射性特征.
主要方法:
- 一个单一中心的干预数据库的回顾性审查超过13年.
- 确定使用内血管治疗治疗的CVT病例.
- 对12例涉及深度脑静脉系统血栓的病例进行分析,这些病例是用导管导向的高高注射治疗的.
主要成果:
- 内血管治疗在所有12名患有深脑静脉血栓症的患者中实现了再通道化.
- 患者表现出临床改善,尽管最初进行了严重的神经学检查.
- 100%的患者经历了治疗后改善的放射学和临床结果.
结论:
- 用局部导向的血栓溶解输液进行内血管治疗对深脑静脉血栓症非常有效.
- 这种方法导致成功的再通道化和有利的临床和放射性结果.
- 内血管治疗为严重的脑静脉血栓症提供了一个有前途的治疗选择.
相关概念视频
Varicose Veins II: Diagnostic Studies and Interprofessional Care
319
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
319
Venous Thrombosis I: Introduction
822
Venous thrombosis, the most common disorder of the veins, involves the formation of a thrombus or blood clot associated with vein inflammation. It can be classified as either superficial vein thrombosis or deep vein thrombosis.Superficial Vein Thrombosis: This involves the formation of a thrombus in a superficial vein, usually the greater or lesser saphenous vein. Though less severe than deep vein thrombosis (DVT), SVT can lead to complications if untreated.Deep Vein Thrombosis (DVT): This...
822
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
469
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
469
Venous Thrombosis III: Interprofessional Care
482
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
482
Venous Thrombosis IV: Nursing Management
415
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
415
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
749
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
749


