Endovascular Surgery: Ụdị adọ

Ke akpatre afọ iri, endovascular ịwa ahụ bụ na ọdabara na-ewu ewu, ma na-awapụta malitere na 50s nke narị afọ nke 20.

A obere akụkọ ihe mere eme

Swedish radiologist Sven Seldinger kwusara echiche nke na-ewebata n'ime mmiri mmiri akpa, ya bụ, iche na n'ụlọnga. Ebumnuche nke ọkà mmụta sayensị bụ izere ịkpụ. N'ihi ya, ọ bịara na-arịa mgbapu usoro a pụrụ iche agịga site akpụkpọ.

Ọ bịara site na agịga eriri, na-abami n'ime arịa site ịchịkwa ndị X-ray, agịga bụ wepụrụ na eriri catheter ntinye. The iche gị n'ụlọnga mee ihe ndị catheter, mgbe ahụ, m wee a picture na X-ray film. N'ihi ya, ọ nọ na-enwetara ihe oyiyi nke arịa. The agịga ndu catheter ndị bụ isi ngwaọrụ endovascular ịwa ahụ na-eji taa. Ọ dị mkpa iburu n'obi na àgwà nke ngwá ọrụ bụ isi ihe ịga nke ọma nke na ime. Nke a bụ otú sitere endovascular ịwa ahụ nke esịtidem carotid akwara.

The ọzọ ogbo nke mmepe na-ezo aka 1964. Radiologist Charles Dotter ẹkenam a usoro maka ịgbasa narrowed arịa na-eji ihe inflatable balloon, nke a na-mmasị ka ọgwụgwụ na catheter. Nke a ọhụrụ okè Swiss cardiologist Andreas Gryunttsig. O mere ka ndị mbụ balloon angioplasty nke obi akwara. Na ọzọ afọ iri, nkà mmụta ọgwụ na-egburu nke Ọnọdụ nke development. Ọ ga-kwuru na onyinye nke obodo-enye ìhè na vaskụla ịwa ahụ bụ: Serbinenko FA, Rabkin I. H., Savelev V. S., Zingerman LS na ndị ọzọ.

Taa, endovascular ịwa ahụ akwụsịla na-a pilot. Ọ ike iwere ya na ebe a na-enwe ọganihu.

About vaskụla Surgery

Vaskụla ịwa - ebe nke nkà mmụta ọgwụ, nke na-agụnye omume nke ọbara na Lymph arịa. Anyị na-etinye usoro ọgwụgwọ dị ka ndị operable na intravascular n'ịwa ahụ. Ná mmalite, nzube nke ịwa ahụ na-achọpụta ọrịa. Rụzuru na ihe omume na-ekwe ka melite a iche iche ebe.

Minimally invasive umu bụ nke oge a na vaskụla n'ịwa ahụ. Oru oma na ime intravascularly kwere omume ekele na nkà na ụzụ ọhụrụ na nkà mmụta ọgwụ, si otú endovascular ịwa ahụ a na-ewere otu nọọrọ onwe ha, pụrụ iche warara profaịlụ, nke were ya na ebe mere ọzọ ka omenala n'ịwa ahụ.

Okwu ahụ bụ "endovascular", nke pụtara "intravascular" kpọmkwem kwekọrọ na nkọwa ndị doro. Ọ bụ a eluigwe na ala usoro na bụ na ọdabara maka dị iche iche na vaskụla pathologies na intraorgan ducts.

The isi ụdị nke

Endovascular Surgery agụnye rentgenohirurgii, interventional Cardiology, interventional Radiology - a ụdị nke ịwa ahụ aka, nke a rụrụ na a ọbara arịa via percutaneous ohere ịchịkwa radieshon Onyonyo.

Ndị isi uru nke intravascular ịwa - a aka site na obere punctures na akpụkpọ X-ray akara nke aghụghọ.
Endovascular achọpụta ọrịa na ọgwụgwọ adọ na-rụrụ ke ọgwụ na-achọ ọtụtụ ụbọchị nke ụlọ ọgwụ. uru:

• Ná nkezi, ọ dịghị mkpa maka n'ozuzu ná Nkụnwụ.
• Iji belata ihe ize ndụ nke enweghị mkpa adọ operable, mmọdo ala mgbu, ngwa ngwa ghara ịgbanwe tụnyere oge gboo n'ịwa ahụ.
• Types of endovascular adọ ndị mara mma mmefu ego ịnye ọnụahịa.

Mgbe eji endovascular usoro - a na-achọpụta ọrịa angiography. Nso ke Center maka Endovascular Surgery?

The ibelata nke arịa ka ọ dilatation ma ọ bụ stenting. Mgbe ngafe ọbara ọkọnọ nke ihe ngwa (akpụ, angiodysplasia, wdg) ma ọ bụ ọrịa ntutu ịdapụsị ọbara (arteriovenous shunt, varicocele) itinye vaskụla embolization.
Ọ bụrụ na ịchọpụta enweghị nchịkwa vasodilation - intravascular aneurysm aka na-eji, nke Ewezuga na aneurysm ọbara eruba ebe.

ụkpụrụ ARO

Na-akwanyere ọrịa na a nchoputa nke "portal ọbara mgbali" (ọbara mgbali elu na portal akwara n'ihi na ihe mgbochi nke ọbara site na imeju) ARO Usoro e ji mee - na-kere hack "ọwa" nke ọbara si portal akwara n'ime imeju. Nke a na-ebelata portal ọbara mgbali, ọ na-gbochiri eyi ndụ egwu.

Ọ bụrụ na e nwere ihe ize ndụ nke detachment nke thrombus nke ala N'ịdị akwara na n'ihu transporter ha n'ime akpa ume akwara, mgbe ahụ, ka ndị cava nzacha dị ka a prophylactic ezu.

mpaghara ọgwụ

Regional na-anara ọgwụ usoro eji maka lekwasịrị injection n'ime ihe ngwa, dị ka infusion na nnukwu pancreatitis, cancer na-anara ọgwụ (catheter etinyere n'ime ihe akwara na mgbe ọgwụ na-agbara kpọmkwem n'ime ọrịa ngwa). Introduction n'ime akwara nke na-anara ọgwụ na Nchikota na mmanụ iche na-ajụ - himioembilizatsiya.

thrombolysis

Thrombosis arịa eji mpaghara thrombolysis. Ewebata catheter n'ime n'ógbè thrombosis, na-ndinọ a umi na dissolves a thrombus (thrombolytic) kpọmkwem n'ekwú thrombosis. Adịru a thrombus ikpe ma ọ bụ kpam kpam etisasịwo, si otú mbenata ọgwụ dose tramboliticheskogo.

Ndị a endovascular usoro ndị bụghị na zuru. The eme nke oge a ụbọchị ndị dị otú ahụ na endovascular ịwa ahụ nwere ihe ọhụrụ, na-eto eto exponentially alaka nke na nkà mmụta ọgwụ. The ndepụta dị iche iche ọgwụgwọ endovascular usoro kọwakwuru.

Ihe unu nwere ike ime na-enyemaka nke X-ray?

Research nke arịa, akwara ma ọ bụ veins-ekpughe na ibelata, occlusion nke ọbara arịa, na-elekwasị anya, na nke nke mgbasa arịa ọrịa, ma mata na ọbara ọgbụgba, akpụ usoro, na ndị ọzọ, na ọ gaghị ekwe omume ime ka a mata ihe ọ bụla ọzọ usoro.

Endovascular ịwa ngalaba na-emekwa ụfọdụ na ndị dị otú ahụ nnyocha.
The usoro bụ n'ozuzu na-esonụ nzọụkwụ. Ịmapusị ihe akwara ma ọ bụ akwara na-eji a pụrụ iche agịga - na ukwu, akpa abu, n'okpuru clavicle ma ọ bụ n'olu. Curved plastic tube - a catheter banye n'ime n'ime arịa. Fluoroscopic nduzi na-enyere aka jide catheter ke iche arịa.

Mgbe ahụ nri n'ime catheter iche na-ajụ na na-anya na X-ụzarị. The iche gị n'ụlọnga, na-agbasa nke isiokwu a vaskụla saịtị, na-eme ya a ma ama na X-ray doo ya. N'ihi nke ọmụmụ were ihe X-ray ma ọ bụ video. X-ray endovascular ịwa ahụ ịchọpụta ihe dị iche iche daa ọrịa nke arịa na akụkụ ahụ ndị dị na bụ ihe irreplaceable usoro nnyocha.

Mgbe hagiographic ọmụmụ nke kwere omume mgbawa ná mgbanwe nke osisi ike na-amụ ihe. Mgbe ụfọdụ, nke ihe mgbu ọgwụ dị mkpa.

samples angiograms

Ya mere, otú ọ rụrụ endovascular ịwa ahụ nke carotid akwara? Overlapped arịa narrowed ma ọ bụ belata ewebata a pụrụ iche balloon mgbe a na-inflated ya na lumen. Nke a na usoro weghachiri patency arịa na-adịghị mkpa-akpali ihe, na eluigwe na ala, dị ka na ọdabara, maka mmadụ ọ bụla arịa.

The vasoconstriction nri catheter angiography ime ka a mata na ọkwa nke ibelata nke arịa. Site a warara ma ọ bụ mechiri emechi nke arịa a rụrụ ngwá ọrụ - onye na-eduzi. Mgbe ahụ balloon catheter nri, nke overlaps narrowed òkè.

The balloon kọwakwuru na narrowed ebe. Ihe mere maka mgbochi - a ọbara clot ma ọ bụ ihe e dere ede, nke a na-ekesa uniformly n'elu kpamkpam agbatị mgbidi arịa. Ọzọ, na balloon na-deflated, si otú tọhapụrụ awụnye òkè nke e weghachiri zuru ọbara.

Sịlịnda ewepu nti Ọnọdụ ekwu site ugboro ugboro angiography. Ọzọkwa ewu ewu endovascular ịwa ahụ nke vertebral akwara.

Na adịghị ike nke ndị dilatation

Ọtụtụ mgbe, mgbe dilatation hụrụ mmapụta stenosis nke na-adịghị egbochi ndị nkịtị usoro nke ọbara.

Ọ bụrụ na ndị dilatation adighi ike-atụ aro stent na-akwado n'ime arịa na-enye ya dị warara. Na stent nwere ike ná mgbanwe nke ogologo na n'obosara, a dị iche iche na usoro nke echichi. The stent a họọrọ n'otu n'otu. Ka ụbọchị, ụmụ mmadụ niile arịa dị maka endovascular akwara stent.

ọgwụgwụ

E nwere dị iche na-egosi, mgbe kwụsị ọbara site na arịa. N'ihi embolizirovaniya arịa a rụrụ na ya catheter. Ọ dị mkpa na catheter ga-enịm nke mere na ndị embolization ihe onwunwe anaghị ịdaba ihe ọzọ. catheter site arịa ekekpepde embolizing umi ma ọ bụ ngwaọrụ, dị ka a gburugburu, plastic (gelatin) urughuru sclerosant.