相关实验视频
Updated: Sep 17, 2025

04:56
Modified Octopus Technique for Thoracoabdominal Aortic Aneurysm
Published on: August 1, 2025
119
坐骨神经病变的罕见原因:持续的坐骨动脉伪动脉瘤由内血管支架植入植入物放置管理
Sanchita Gupta1, Rajendra Kumar Behera2, Anita Dhar3
1Department of Radiodiagnosis and Interventional Radiology, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ case reports
|June 30, 2025
概括
持续性坐骨动脉,一种罕见的血管变体,可以导致坐骨神经的压缩和疼痛. 血管内支架移植治疗有效地解决了患者的伪动脉瘤和神经病痛.
科学领域:
- 血管外科 血管外科
- 遗传性血管异常 遗传性血管异常
- 神经学 神经学
背景情况:
- 持续性坐骨动脉是一种不常见的先天性下肢血管变体.
- 在部区域形成的伪动脉瘤是最常见的并发症,在多达48%的病例中发生.
- 并发症包括血栓形成,远端栓塞和坐骨神经压缩,导致根部疼痛.
研究的目的:
- 为了呈现一种神经性下肢疼痛的病例,由于持续的坐骨动脉伪动脉瘤对坐骨神经进行压缩.
- 为了说明这种罕见疾病的成功内血管管理.
主要方法:
- 一个50多岁的男性患者的病例报告显示,他患有神经病的下肢疼痛.
- 通过成像证实了诊断 (摘要中没有详细说明).
- 治疗涉及使用支架移植的伪动脉瘤的内血管排除.
主要成果:
- 通过内血管放置的支架移植成功排除了伪动脉瘤.
- 术后第一天的超声波证实了伪动脉瘤血栓形成.
- 实现了神经病痛的完全缓解.
- 随访1年后,患者仍然没有疼痛.
结论:
- 持续性坐骨动脉是一种不常见的变体,具有不同的临床表现.
- 早期诊断和最少的侵入性内血管技术对于有效的管理至关重要.
- 内血管支架移植为与持续的坐骨动脉相关的伪动脉瘤提供了成功的治疗选择.
相关概念视频
Aneurysm III: Interprofessional Care
29
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
29
Peripheral Artery Disease V: Postoperative Nursing Management
28
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
28
Aneurysm IV: Nursing Management
23
Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
23
Peripheral Artery Disease III: Interprofessional Care
33
Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
33
