使用Pounce LP机械血栓切除系统在未成功的开放性和穿皮性血栓切除术后挽救四肢
Hassan Chamseddine1, Mouhammad Halabi1, Alexander Shepard1
1Division of Vascular Surgery, Department of Surgery, Henry Ford Hospital, Detroit, MI.
Journal of vascular surgery cases and innovative techniques
|September 22, 2025
概括
在一个复杂的四肢缺血病例中,Punce LP血栓切除系统有效地去除了有组织的血栓,证明了它在治疗具有挑战性的外周动脉封闭和帮助四肢挽救方面的潜力.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 医疗器械 医疗器械
背景情况:
- 机械血栓切除装置在治疗有组织的血栓和小远端血管方面存在局限性.
- 急性四肢缺血往往需要先进的再血管化技术.
研究的目的:
- 评估Pounce LP血栓切除系统在患有广泛下肢动脉封闭症的患者中的疗效.
- 评估设备在管理有组织的血栓和恢复远端输液方面的能力.
主要方法:
- 一个83岁的女性患有急性四肢缺血的病例报告,原因是外侧阴动脉封闭.
- 通过吸收血栓切除和气球栓切除的初始治疗失败了.
- 随后使用Pounce LP血栓切除系统治疗前阴,后阴和关动脉的闭塞.
主要成果:
- 波恩斯LP装置成功地从堵塞的骨动脉和骨动脉中移除了有组织的血栓.
- 恢复了多相线内流向关动脉及其分支的实现.
- 这改善了远端输液,使得成功的转足截肢和肢体救援成为可能.
结论:
- 斯LP血栓切除系统在膝下动脉封闭的复杂,有组织的血栓治疗方面显示出前景.
- 这种机械血栓切除方法可能在对其他治疗不耐药的关键肢体缺血病例中为肢体救援提供一个可行的选择.
相关概念视频
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
329
Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
329
Peripheral Artery Disease III: Interprofessional Care
248
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...
248
Peripheral Artery Disease V: Postoperative Nursing Management
378
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...
378


