在复杂的内脏泄漏的治疗中利用手术内对比度增强的超声波
Mackenzie Snyder1, Hannah Pambianchi2, Megan Lenihan3
1Division of General Surgery, Inova Health System, Falls Church, VA.
概括
与对比度增强的超声波 (CEUS) 在腹腔大动脉瘤修复后有效检测内脏泄漏. 术内CEUS为成功的治疗提供实时反,最大限度地减少对比度的使用和指导干预.
科学领域:
- 医疗成像医学成像
- 血管外科 血管外科
- 干预性放射学 干预性放射学
背景情况:
- 隐性内泄漏是腹腔大动脉动脉瘤修复的并发症.
- 精确检测和治疗内脏泄漏对于长期结果至关重要.
- 对比增强超声波 (CEUS) 是一种新兴的成像方式.
研究的目的:
- 报告手术内CEUS在管理内泄漏方面的实用性.
- 为了证明CEUS在实时治疗评估中的作用.
- 在特定患者群体中强调CEUS的好处.
主要方法:
- 一系列病例描述了三名内脏泄漏的患者.
- 在手术期间使用的CEUS用于内泄漏检测和表征.
- 在CEUS的指导下进行了EndoLeak治疗,并取得了成功.
主要成果:
- 在这三个案例中,CEUS成功地确定了临床上显著的内脏漏洞.
- 实时CEUS反证实了治疗的有效性.
- CEUS促进了有针对性的干预和减少了含的对比剂的使用.
结论:
- 术内CEUS是识别和治疗具有挑战性的内泄漏的宝贵工具.
- CEUS提供实时指导和治疗成功的确认.
- 这种模式最大限度地降低了对比负载,对患有损的患者有益.
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