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[胸腔内血管大动脉修复,用于远距离门内大动脉内血栓的治疗]
Munehiro Saiki1, Keiji Yunoki, Tomoya Inoue
1Department of Cardiovascular Surgery, Hiroshima City Hiroshima Citizens Hospital, Hiroshima, Japan.
Kyobu geka. The Japanese journal of thoracic surgery
|November 18, 2025
概括
本案例研究强调了一种用于胸腔内血管大动脉修复 (TEVAR) 的新技术,该技术用于患有大动脉弧血栓的老年患者. 这种创新方法在复杂的大动脉修复过程中成功地预防了血栓栓塞并发症.
科学领域:
- 心血管外科心血管外科
- 血管内血管治疗 血管内血管治疗
- 大动脉动脉瘤和剖析
背景情况:
- 大动脉的血栓构成血栓栓塞事件的重大风险,特别是在脆弱的老年患者中.
- 传统的手术修复可能在一般状况不佳和并发症的患者中是禁忌的.
- 胸内血管大动脉修复 (TEVAR) 为复杂的大动脉病理提供了一个不那么侵入性的替代方案.
研究的目的:
- 描述一种修改后的TEVAR技术,用于治疗老年,虚弱的患者的大动脉弧血栓.
- 为了证明这种方法在预防外科手术期间的血栓栓塞并发症方面的安全性和有效性.
主要方法:
- 计算机断层扫描 (CT) 扫描在远端大动脉门和近端下降大动脉中发现了血栓.
- 由于患者的脆弱性,启动了抗凝治疗.
- 一种经过修改的TEVAR方法涉及通过左第五肋间空间进入大动脉的较小曲率.
- 在心脏顶部和右之间使用了拉线技术来部署设备.
主要成果:
- 修改后的TEVAR手术成功完成,没有手术内或术后的栓塞并发症.
- 患者在稳定的状态下从医院出院.
- 患者目前正在接受门诊随访.
结论:
- 这种经过修改的TEVAR技术为高危老年患者的大动脉弧血栓管理提供了可行的和安全的选择.
- 精心的手术前规划和创新的手术内技术对于复杂的大动脉干预的成功结果至关重要.
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