在Fontan患者中,大静脉附带体的跨脊椎阻塞
Michal Jičínský1, Theodor Adla2,3, Ondřej Materna1
1Children's Heart Centre, Second Faculty of Medicine, Charles University and Motol University Hospital, Prague, Czech Republic.
概括
本案例研究详细介绍了一种新的方法来治疗Fontan循环患者的脱度,通过堵塞扩大的血栓静脉. 超声波引导的脊椎接入技术为复杂的病例提供了新的选择.
科学领域:
- 心脏病学 心脏病学
- 干预心脏病学 干预心脏病学
- 儿童心脏病学 儿童心脏病学
背景情况:
- 喷泉循环患者通常会发展出有毒的附带物,导致脱.
- 扩大了向肺静脉系统转移的不静脉是显著脱的罕见原因.
研究的目的:
- 描述一个罕见的Fontan病人的病例,患有扩大过敏静脉导致脱.
- 提出一种新的超声波引导的脊椎接入技术,用于在标准部位无法使用时进行干预性阻塞.
主要方法:
- 一个罕见的Fontan患者病例被确定,患有扩大过敏静脉.
- 第12个胸椎的超声导向直接穿刺是在倾斜的位置进行的.
- 通过扩张的外部脊椎静脉来进入自流静脉,并用血管塞堵塞.
主要成果:
- 通过使用新型接入技术,成功封闭了扩大的静脉.
- 这种方法提供了一个可行的干预途径,当传统的访问站点不适合时.
结论:
- 超声导向的直接脊椎穿刺是复杂的心血管干预的有效替代接入技术.
- 这种方法扩大了Fontan患者具有具有挑战性的解剖学或塞血管的干预选择.
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