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混合线圈用于左下关节动脉栓塞在2区胸腔内血管修复期间的混合线圈
Martina Cambiaghi1, Giacomo Isernia2, Deborah Ongaro1
1Division of Vascular Surgery, Department of Clinical and Experimental Sciences (DSCS), University and ASST Spedali Civili Hospital of Brescia, Brescia, Italy.
概括
在胸腔内血管大动脉修复 (TEVAR) 过程中,Penumbra Occlusion Device (POD) 有效地栓塞左下关节动脉 (LSA). 这种方法显示出高度的技术成功和临床结果,为传统的栓塞技术提供了一个有希望的替代方案.
科学领域:
- 血管外科 血管外科
- 干预心脏病学 干预心脏病学
- 医疗器械技术 医疗器械技术
背景情况:
- 左关节下动脉 (LSA) 阻塞的传统方法包括线圈栓塞或血管塞.
- 阴影阻塞装置 (POD) 是一种混合线圈,旨在用于高流量血管栓塞.
研究的目的:
- 为了评估LSA栓塞的Penumbra Occlusion Device (POD) 的技术和临床成功.
- 在2区胸内血管大动脉修复 (TEVAR) 期间评估POD性能.
主要方法:
- 在2区TEVAR中进行LSA栓塞与POD的患者在两个大动脉中心进行回顾性分析.
- 收集的数据包括程序细节,技术成功率和短期临床结果.
- 通过计算机断层扫描血管学 (CTA) 进行的随访评估了LSA栓塞,Ic型内泄和复血管化通透性.
主要成果:
- 在37名患者中,在97%的患者中,使用POD实现了LSA栓塞的技术成功.
- 在49%的案例中,单一的POD足够,而手臂接入占主导地位 (81%).
- 短期随访显示了92%的临床成功,没有报告的中风或暂时性缺血性发作;24%的经历了Ic型内皮泄漏,大多数自发或保守管理.
结论:
- 半阴封闭装置 (POD) 是在2区TEVAR期间进行LSA栓塞的有效和实用的工具.
- POD为传统方法提供了可行的替代方案,可能简化程序并减少设备要求.
- 该设备表现出高度的技术成功和可接受的短期结果,支持其更广泛的采用.
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