河流技术:逆行性IVUS内血管再血管化异常的小腿骨慢性全闭塞
Shadi Halabi1, Eric Gonsiorowski2, Wael Gad3
1Department of Cardiology, Community Hospital, Powers Health, Munster, Indiana, USA; Indiana University School of Medicine, Indianapolis, Indiana, USA.
JACC. Case reports
|January 21, 2026
概括
逆行性血管内超声波内血管再血管化 (RIVER) 技术为复杂的小腿动脉封闭提供了解决方案. 这个案例证明了当标准方法失败时,成功的重血管和愈.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 医疗器械技术 医疗器械技术
背景情况:
- 不愈合的脚往往是由于关节动脉慢性全闭导致的关键四肢缺血造成的.
- 在异常的小腿骨解剖或复杂的闭塞的情况下,标准的前级内血管方法可能会失败.
研究的目的:
- 介绍一个使用逆行性血管内超声波内血管再循环化 (RIVER) 技术治疗异常的长期阴完全封闭的病例.
- 为了突出RIVER的有效性,当前级再血管化尝试失败时.
主要方法:
- 一名62岁的男性患者患有不愈合的左脚,接受了内血管干预.
- 逆行通道是通过后关动脉实现的.
- 血管内超声波 (IVUS) 用于确认内导线的通道,并指导再血管化.
主要成果:
- 逆行线的导航异常,连接到尾动脉.
- 成功地实现了后关动脉的重血管化.
- 患者经历了足部的完全愈合.
结论:
- 河流技术是一种可行的和有效的策略,用于重新血管化异常的长期部完全封闭.
- 这种方法提供了一个有价值的替代品,当传统的前级方法失败,导致肢体救援和愈.
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