Endovascular Surgery: Types kuti kupindira

Mumakore gumi adarika, endovascular kuvhiya rinoshanda uye akakurumbira, asi chikwiriso charo kwakatanga 50s remakore rechi20.

A Nhoroondo shoma

Swedish radiologist Sven Seldinger vakazivisa pfungwa kudzidzisa kupinda mvura mugaba, ndiko kuti, kusiyana pomutumwa. Chinangwa musayendisiti aiva kunzvenga vakatongoparadzwa. Saka chasvika mudziyo ponji nzira chaiyo tsono kuburikidza ganda.

Akauya kuburikidza tsono tambo, rakapinza muruoko mudziyo nokudzora X-ray, tsono hwaputswa uye tambo anobudisa mushonga zvishoma nezvishoma kupinza. The Musiyano mumiririri yaiiswa anobudisa mushonga zvishoma nezvishoma, ipapo ndakatora mufananidzo uri X-ray firimu. Saka zvakanzi akatiwanira pechifananidzo mudziyo. The tsono inotungamirira anobudisa mushonga zvishoma nezvishoma vari zvinhu zvekushandisa mune endovascular oparesheni uye kushandiswa nhasi. Zvakakosha kuziva kuti kunaka chokushandisa ndiko kubudirira oparesheni. Heunoi sei yakatanga endovascular kuvhiyiwa pamusoro womukati carotid tsinga.

Inotevera pavaipfuura kukura zvinoreva 1964. Radiologist Charles Dotter akatanga nzira yokuti wokukudza kujekesa mudziyo achiedza Inflatable chibharuma, iyo wanamatira pakuguma ari anobudisa mushonga zvishoma nezvishoma. Izvi utsanzi runokwaniswa Swiss cardiologist Andreas Gryunttsig. Akaita wokutanga chibharuma angioplasty mwoyo arteries. Munyaya inotevera gumi, zvokurapa uye vakatevera simba okukura. Zvinofanira kuzivikanwa mupiro vomunharaunda zvinovheneka munzvimbo vascular Kuvhiya vari: Serbinenko Fa, Rabkin I. H., Savelev V. S., Zingerman Ls nevamwe.

Nhasi, endovascular kuvhiya akarega kuva mutyairi. Akatsunga atora nzvimbo yaro uye ari kufambira mberi.

About Vascular Surgery

Vascular Kuvhiya - nharaunda zvokurapa, zvinosanganisira kurapwa ropa uye node midziyo. We kushandisa nzira yokurapa sezvo operable uye intravascular kuvhiyiwa. Pakutanga, chinangwa kuvhiya kwakanga chirwere. Kubudirira uye migumisiro kurapwa akabvumira akamisa yoga nzvimbo.

Zvishoma invasive mhando ndowenyika ano vascular kuvhiyiwa. Vakarongeka mashandiro intravascularly zvinogoneka kunokwana unyanzvi mune zvokurapa, nokudaro endovascular kuvhiya anoonekwa yakazvimirira, specialized yakatetepa Profile, vakatora nzvimbo yaro uye akaita nzira nezvaiitwa kuvhiyiwa.

Shoko rokuti "endovascular", iro rinoreva "intravascular" chaizvoizvo rinoenderana chaizvo. Chinhu nzira inoshanda kuti rinoshanda zvakasiyana siyana vascular pathologies uye intraorgan ducts.

The Mhando chikuru

Endovascular Surgery zvinosanganisira rentgenohirurgii, interventional cardiology, interventional radiology - ichi mhando kuvhiya kupindira, iro rinoitwa pasi mudziyo ropa Via percutaneous kuwana kuzvidzora nemwaranzi kuri.

The chikuru mukana intravascular kuvhiya - kupindira ichi kuburikidza punctures diki paganda uye X-ray kudzora kuti kuchinja.
Endovascular chirwere uye dzokurapwa kupindira yaiitwa kiriniki uye zvinoda mazuva anoverengeka muchipatara. zvakwakanakira:

• Paavhareji, hapana chikonzero zvayo yokutindivadza.
• Kuti kuderedza ngozi kusavapo zvakafanira kupindira operable, naizvozvo yakaderera marwadzo, nokukurumidza vapore zvichienzaniswa dzekare kuvhiyiwa.
• Mhando endovascular kupindira dzinokwezva bhajeti Pricing.

Aiwanzoshandisa endovascular nzira - yokuongororwa angiography. Chii Center kuti Endovascular Surgery?

The aienda pamusoro mudziyo kuti dilatation kana stenting. Kana zvakawandisa ropa nerubatsiro imwe nhengo (bundu, angiodysplasia, etc.) kana zvemamiriro ropa riyerere (arteriovenous shunt, varicocele) kushandisa vascular embolization.
Kana rokuongorora pathological vasodilation - intravascular aneurysm batanidza rinoshandiswa, iyo inosiya aneurysm neropa chekubuda nharaunda.

nzira MAZANO

With kuremekedza varwere vane chirwere kuti "portal neBP" (ropa mukuru kumanikidzwa vari portal tsinga nokuda mhingaidzo ropa riyerere kubudikidza chiropa) MAZANO Nzira yaishandiswa - akasikwa Hack "gwara" ropa kuyerera kubva portal tsinga muchiropa. Izvi zvinoderedza portal BP, zvinonzi kudziviswa upenyu pangozi.

Kana paine njodzi yokuzviparadzanisa pamusoro thrombus ose akaderera muzvidimbu tsinga mimwe transporter muvira pulmonary tsinga, ipapo vakapisa cava filters somunhu prophylactic nechiyero.

zvenharaunda mishonga

Regional mishonga nzira inoshandiswa kubaya jekiseni riite nhengo, akadai aizomupa mu rikwanise pfungwa nomuviri zvemwana asati, kenza Kurapwa (anobudisa mushonga zvishoma nezvishoma rakapinzwa imwe tsinga uye ipapo mushonga iri jekiseni zvakananga kupinda hosha nhengo). Nhanganyaya kupinda tsinga kuti mishonga akabatana mafuta musiyano svikiro - himioembilizatsiya.

thrombolysis

Thrombosis mudziyo kushandisa remunharaunda thrombolysis. Kusuma anobudisa mushonga zvishoma nezvishoma kunyika nzvimbo thrombosis, chinotarisirwa rimwe fuma kuti urwa munhu thrombus (thrombolytic) zvakananga wechoto thrombosis. Izvozvi munhu thrombus zvishomanana kana zvachose ichiputswa, nokudaro achidzikisa zvinodhaka dose tramboliticheskogo.

Izvi endovascular nzira havasi zvakazara. Zviri zuva ano zvokuti endovascular Kuvhiya ane nzira itsva, kukura exponentially davi wemishonga. The mazita akasiyana kuchirapa endovascular maitirwo ezvinhu anowedzera.

Chii chaungaita tichibatsirwa X-ray?

Research hari, arteries kana mutsinga inoratidza aienda, occlusion rwengarava ropa, pfungwa, kukura kuwedzera mudziyo chirwere, uye kuziva munyika kubuda ropa, bundu muitiro, uye zvakawanda, kuti hazvibviri kuziva chero nzira.

Endovascular dhipatimendi Kuvhiya iri paaivatambudza tsvakurudzo kwakadaro.
The nzira Kazhinji matanho zvinotevera. Kuponjesa imwe tsinga kana tsinga rinoshandiswa chaizvo tsono - ari muhudyu, hapwa, pasi clavicle kana mutsipa. Curved epurasitiki chubhu - anobudisa mushonga zvishoma nezvishoma kupinda munzvimbo mudziyo. Fluoroscopic mazano anobatsira kuti abate anobudisa mushonga zvishoma nezvishoma vari chipfuro mudziyo.

Ipapo zvokudya kupinda anobudisa mushonga zvishoma nezvishoma musiyano svikiro iri kuoneka X-ray. The Musiyano mumiririri, aparadzirwe nyaya vascular nzvimbo, zvichiita kuti akakurumbira X-ray danda. Mubayiro pakudzidza rinoburitsa ane X-ray kana mavhidhiyo. X-ray endovascular kuvhiyiwa kuziva dzakasiyana zvokurwara midziyo uye nhengo dzomukati uye ane nzira irreplaceable kutsvakurudza.

Kana hagiographic mukudzidza zvichibvira kurwadziwa kwenguva pfupi kunosiyana kuchinyanya kudzidzawo nzvimbo. Dzimwe kurwadziwa mishonga inodiwa.

mimwe angiograms

Saka, sei zviri akaita endovascular kuvhiyiwa pamusoro carotid arteries? Vakaprofita midziyo kujekesa kana kuderedzwa Pakusuma chibharuma inokosha zvino ari inflated nayo lumen. nzira iyi anodzoreredza patency ari mudziyo haadi adaro, waifarirwa, kushanda, nokuti chero midziyo yevanhu.

The vasoconstriction zvokudya anobudisa mushonga zvishoma nezvishoma angiography kuita kuziva padanho aienda pamusoro mudziyo. Kuburikidza rakamanikana kana namahwindo chikamu mudziyo rinoitwa chishandiso - muitisi. Ipapo chibharuma anobudisa mushonga zvishoma nezvishoma iri zvokudya, izvo overlaps mugove kujekesa.

The chibharuma anowedzera kuti kujekesa nzvimbo. Chikonzero yairambidzwa - ropa clot kana Dombo, izvo anoparadzirwa noruvara pamusoro doro akatambanudza parusvingo mudziyo. Zvadaro, chibharuma iri deflated, nokudaro akasunungura mudziyo mugove iyo anodzorerwa ropa chekubuda zvizere.

Cylinder abvisa emuchina zvakanaka kuongororwa ne inodzokororwa angiography. Uyewo yakakurumbira endovascular kuvhiyiwa pamusoro vertebral tsinga.

Tiine ineffectiveness kuti dilatation

Kazhinji, pashure dilatation akacherechedza residual stenosis usingabereki kuvhiringidza chakaipa muitiro ropa kuyerera.

Kana dilatation sashanda Recommended stent hunotsigira mukati ngarava uye haangazvidembi kumupa yakatetepa. Vari stent angava kunosiyana urefu uye dhayamita, yakasiyana nzira naro. The stent anosarudzwa nomumwe. To musi, zvose midziyo dzevanhu dziripo endovascular coronary stent.

mhedziso

Pane zviratidzo zvakasiyana-siyana, kana kuti kurega ropa riyerere kuburikidza ngarava. Nokuti embolizirovaniya mudziyo rinoitwa munyika anobudisa mushonga zvishoma nezvishoma yake. Zvakakosha kuti anobudisa mushonga zvishoma nezvishoma igadzikwe kuti embolization zvinhu hakurevi kuwira dzimwe nhumbi. anobudisa mushonga zvishoma nezvishoma achishandisa mudziyo chaaitaura embolizing fuma kana mudziyo, zvakadai somunhu zononoka, mapurasitiki (gelatin) PARTICIPLE sclerosant.