在血管内主动脉修复过程中,用计算机辅助真空血栓切除术进行脱的血栓吸收:救助程序
Giacomo Murana1, Francesco Buia2, Costanza Fiaschini1
1Division of Cardiac Surgery, IRCCS Azienda Ospedaliero-Universitaria di Bologna, S.Orsola Hospital, University of Bologna, Italy.
概括
一种微创手术成功治疗了胸内血管大动脉修复 (TEVAR) 的罕见并发症,其中包括阻塞的内脏动脉. 快速的血栓吸收可以防止器官损伤,确保患者的成功结局.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 主动脉动脉瘤疾病 主动脉动脉瘤疾病
背景情况:
- 胸内血管大动脉修复 (TEVAR) 是对下降胸大动脉动脉瘤的标准治疗方法.
- 虽然很少见,但由于支架部署可能会出现并发症,包括血栓位移.
- 状血栓的移位可能会导致严重的后果,如内脏动脉封闭.
研究的目的:
- 报告TEVAR的不寻常并发症,涉及上层介质体和右动脉封闭.
- 用血栓吸收来描述这种并发症的成功管理.
- 突出最小侵入性技术在管理TEVAR相关紧急情况中的有效性.
主要方法:
- 一名70岁的女性患者接受了TEVAR治疗下降胸前大动脉动脉瘤.
- 术内血管学检测出膜上部和右动脉封闭后的支架部署.
- 进行了血栓吸血,以恢复血流到受影响的动脉.
主要成果:
- 成功地恢复了血液流向上层介质动脉和右动脉的血流.
- 避免内脏缺血和相关的器官损伤.
- 通过手术内血管学和术后CT扫描证实了治疗的成功.
结论:
- 血栓吸收是TEVAR后内脏动脉封闭的有效和最小侵入性治疗方法.
- 及时识别和治疗这种并发症对于预防不可逆转的缺血至关重要.
- 当并发症得到及时和适当的管理时,TEVAR仍然是一个安全和有效的程序.
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