动脉静脉瘤伪动脉瘤复杂重建手术:一个临床案例
Andrey Sorokin1, Aleksei Filippov1, Dmitriy Shmatov1
1Department of Cardiovascular Surgery, Saint Petersburg State University Hospital, Saint Petersburg, Russian Federation.
The journal of vascular access
|June 18, 2025
概括
在血液透析患者中,管理动脉静脉的伪动脉瘤需要复杂的手术修复. 这一案例展示了成功的个性化方法,保护了血管通道和生活质量.
科学领域:
- 血管外科 血管外科
- 腎臟病學 (nephrology) 是一種醫學.
- 干预性放射学 干预性放射学
背景情况:
- 在动脉静脉 (AVF) 部位的伪动脉瘤威胁血液透析的通透性.
- 在以前有AVF失败和血栓形成的患者中,管理是复杂的.
研究的目的:
- 描述一个患有末期脏疾病和多次AVF失败的患者的大型伪动脉瘤的成功手术治疗.
- 突出定制外科手术技术在保护血管通道方面的重要性.
主要方法:
- 一名27岁的患者患有末期脏疾病,呈现出大型AVF伪动脉瘤.
- 通过双重超声波确认了诊断.
- 手术管理涉及伪动脉瘤切除,附带静脉调动和复杂的解剖,以确保外流.
主要成果:
- 患者的术后过程是没有事件的.
- 通过重建的AVF进行血液透析在2个月后恢复,并保持18个多月的功能.
- 手术后没有报告任何并发症或限制.
结论:
- 个性化和复杂的手术策略对于管理AVF伪动脉瘤至关重要.
- 及时,量身定制的干预措施可以成功地保护血管通道,并保持患者的生活质量,即使在具有挑战性的情况下.
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