门静脉支架来拯救这一天
Panagiotis Grigoropoulos1, Vasilina Tsemelidi2, Orfeas Varvarelis2
11st Department of Radiology, School of Medicine, National and Kapodistrian University of Athens, Areteion Hospital, 76 Vas. Sophias Ave, Athens, 11528, Greece.
CVIR endovascular
|August 29, 2025
概括
术后门静脉狭窄是一种严重的疾病,可以通过皮肤门静脉支架进行有效治疗. 这种干预成功地治疗了患者的急性肝衰竭,证明了其临床益处.
科学领域:
- 干预性放射学
- 肝胆外科手术
- 血管外科
背景情况:
- 手术后的门静脉狭窄/封闭是一个严重的并发症.
- 早期诊断和治疗对于患者的结果至关重要.
- 如果不治疗, 这种情况会导致危及生命的并发症.
研究的目的:
- 概括皮肤门静脉支架的临床益处.
- 突出由于门静脉狭窄而导致的急性肝功能衰竭的成功治疗.
- 介绍一个手术后门静脉狭窄的救援干预案例.
主要方法:
- 一名78岁的女性患者接受了囊性胆管癌切除术.
- 患者出现了急性肝衰竭的高度门静脉狭窄.
- 穿皮门静脉支架作为救援手术进行.
主要成果:
- 门静脉支架在技术上是成功的
- 患者获得了令人满意的临床结果.
- 在干预之前观察到肝膜的过渡性缺血变化.
结论:
- 穿皮门静脉支架是一种可行的手术后门静脉狭窄的治疗方法.
- 这种干预可以防止急性肝衰竭的不可逆转肝损伤.
- 在复杂的病例中,救援支架是一种有益的治疗选择.
相关概念视频
Venous Thrombosis III: Interprofessional Care
22
Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
22
Varicose Veins II: Diagnostic Studies and Interprofessional Care
31
Varicose veins, or varicosities, develop when the valves in the veins, which control blood flow, weaken or damage. It causes blood to pool and the veins to enlarge. Understanding the clinical manifestations, diagnostic approaches, and management options for varicose veins is crucial for effective treatment and relief.Clinical manifestationsClinical manifestations of varicose veins include a heavy, achy feeling or pain after prolonged standing or sitting. This discomfort can often be relieved by...
31
Venous Thrombosis II: Clinical Manifestations and Diagnostic Studies
34
The key difference between Superficial Vein Thrombosis (SVT) and Deep Vein Thrombosis (DVT) lies in their location and severity.Clinical ManifestationsSVT typically presents with localized pain, tenderness, and redness along the course of a superficial vein, often accompanied by a palpable, cord-like structure under the skin. This condition is usually less dangerous than DVT but can be uncomfortable and may lead to complications such as cellulitis or, rarely, a clot extension into the deep...
34
Venous Thrombosis IV: Nursing Management
22
Nursing management begins with a thorough assessment of the patient's health history. Key factors include trauma to veins, peripherally inserted central catheters, varicose veins, recent pregnancy or childbirth, surgery, bacteremia, prolonged bed rest, atrial fibrillation, COPD, heart failure, cancer, coagulation disorders, myocardial infarction, spinal cord injury, stroke, prolonged travel, recent bone fractures, and dehydration. Review medication intake, particularly oral contraceptives,...
22
Esophageal Varices-II: Clinical Features and Management
135
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
135
Endocarditis IV: Nursing Management
27
Infective endocarditis (IE) is a chronic infection of the heart's endocardium, primarily affecting the heart valves. A detailed nursing assessment for a patient with IE involves collecting subjective and objective data to ensure an accurate diagnosis and timely intervention.Subjective DataThe nurse gathers information about the patient's symptoms and complaints during the subjective assessment. Patients with infective endocarditis often report non-specific symptoms that can mimic other...
27


