医生对戈尔内移植进行修改,以保护辅助动脉
Niraj Balakrishnan1, Indrani Sen1
1Department of Vascular and Endovascular Surgery, Mayo Clinic Health System, Eau Claire, WI.
概括
腹腔大动脉动脉瘤与附属动脉的内血管修复具有挑战性. 一个医生修改的内脏移植与fenestrations成功地治疗了患有慢性病的患者,避免了的并发症.
科学领域:
- 血管外科 血管外科
- 血管内干预 血管内干预
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 靠近密封区的辅助动脉复杂化了下腹动脉动脉瘤的内血管修复.
- 患有慢性病的患者在开放性修复期间患功能障碍的风险更高.
研究的目的:
- 在患有辅助动脉和慢性病的患者中,描述下腹腔大动脉动脉瘤的成功内血管修复.
- 介绍一种新的技术,使用医生修改的内移植与窗体.
主要方法:
- 一个76岁的男性患有糖尿病,高血压,CAD和3a期慢性病的病例报告.
- 内腹腔大动脉动脉瘤 (5.5厘米) 与密封区的辅助动脉.
- 使用医生修改的内移植与穿孔活检创建的化物进行内血管动脉瘤修复.
主要成果:
- 内血管修复在技术上是成功的.
- 在手术后没有观察到I或III类型的内皮.
- 在2个月的随访期内,估计的淋巴膜过率保持稳定,这表明功能得到保护.
结论:
- 医生修改的带有的内移植是治疗附属动脉复杂腹腔大动脉动脉瘤的可行选择.
- 这种方法可以在患有慢性病的患者中安全有效,从而保持功能.
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