由心腔内血瘤复杂的隔膜侧孔:一个病例报告
These videos have been matched automatically. Contact us if they are not relevant.
These videos have been matched automatically. Contact us if they are not relevant.
在PubMed上查看摘要
概括
此摘要是机器生成的。在冠状动脉扫描过程中隔膜侧孔造成大肠膜内血瘤. 迅速的线圈栓塞成功治疗了这种并发症,导致了完全的血瘤解脱.
科学领域
- 心脏病学
- 干预心脏病学
- 血管医学
背景情况
- 冠状动脉疾病 (CAD) 的治疗往往需要复杂的干预措施.
- 穿皮冠状动脉干预 (PCI) 有风险,包括血管损伤.
- 隔膜外孔是PCI期间罕见但严重的并发症.
研究的目的
- 在PCI期间报告隔膜外穿孔的次要病例.
- 描述使用线圈栓塞成功管理IVSH.
- 强调及时干预和监测这些并发症的重要性.
主要方法
- 一名76岁的男性患者患有严重的化三血管CAD,接受了冠状动脉扫描 (CA).
- 左下垂动脉的紧急PCI因隔膜侧孔发生并发症,导致IVSH.
- 使用阻塞和输送 (BAD) 技术进行了两阶段的线圈栓塞,以控制扩大的血瘤.
主要成果
- 成功的栓塞阻止了心室内隔膜血瘤的扩张.
- 患者在冠状动脉病房 (CCU) 观察后在稳定的状态下出院.
- 在2个月后,胸腔回声图证实了IVSH的完全消失.
结论
- 腹腔隔膜血瘤是PCI的一种罕见并发症,可以通过迅速的线圈栓塞成功治疗.
- 及时识别和干预对于取得令人满意的结果至关重要.
- 密切的心声监测对于确认血瘤的消失至关重要.
相关概念视频
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Cervical Esophageal Perforations: Symptoms may include neck pain, difficulty swallowing, painful...
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...