一种新的非手术治疗Iatrogenic辐射动脉伪动脉瘤:一个案例系列
Guang Ming Tan1, Cheuk Yin Lai2, Bryan Yan3
1Department of Medicine & Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Ma Liu Shui, Hong Kong.
概括
一种名为DRAINED的新型非手术技术有效地治疗了跨射线手术后的阳性放射性动脉伪动脉瘤. 这种方法为管理这些罕见但严重的血管并发症提供了一种安全而无并发症的替代方案.
科学领域:
- 心血管干预 心血管干预
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
背景情况:
- 阴性辐射动脉伪动脉瘤 (iRAP) 是通过辐射接入后的一种罕见并发症.
- 现有的手术或血栓注射等治疗方法存在局限性,包括侵入性和远端栓塞的风险.
研究的目的:
- 描述一种新的非手术技术,分离射线动脉隔离和针脱压 (DRAINED),用于iRAP治疗.
- 评估DRAINED程序的安全性和有效性.
主要方法:
- DRAINED技术包括使用气动压缩带来隔离iRAP段,以遮住血液流动.
- 进行了超声导针吸收伪动脉瘤内容,然后进行压缩以防止再积累.
- 在整个手术过程中,监测数字输液.
主要成果:
- 在2018年至2024年期间,六名iRAP患者使用DRAINED技术进行了治疗.
- 所有患者都实现了iRAP的完全解决,没有出现诸如放射性动脉血栓形成或远端栓塞等并发症.
- 这项手术是对经过皮肤冠状动脉干预的患者进行的,通常具有较大的外尺寸.
结论:
- DRAINED技术是一种安全有效的非手术选择,用于治疗阳性辐射动脉伪动脉瘤.
- 这种方法为iRAP的传统侵入性治疗提供了有价值的替代方案.
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