UCSF Health is a pioneer in endovascular surgery, 每年进行超过150例血管内动脉瘤修复手术,比西海岸任何其他医疗中心都要多. 我们的专家团队开发并测试了突破性的血管内手术技术和技术.
Endovascular Surgery
Endovascular surgery is an innovative, 用于治疗影响血管的问题的侵入性较小的手术, such as an aneurysm, 哪一种是血管肿胀或“膨胀”. 该手术包括在每个髋关节附近做一个小切口以进入血管. An endovascular graft, 哪一种是用不锈钢自膨胀支架搭建的特殊织物管装置, is inserted through the arteries in a catheter, a long, narrow flexible tube, and positioned inside the aorta. Once in place, the graft expands and seals off the aneurysm, preventing blood from flowing into the aneurysm. The graft remains in the aorta permanently.
In the past, this condition was treated by open surgery, 胸部或胸骨一侧的切口,需要很长的恢复期. 患者一般在开放手术后住院7至10天,并经过3个月的恢复.
An alternative to open surgery, endovascular surgery offers many advantages, including a shorter recovery period, less discomfort, 局部麻醉代替全身麻醉的局部或区域麻醉, smaller incisions, 对心脏的压力更小,对患有其他疾病的患者的风险也更小. 这种方法可能有利于需要手术但由于其他情况而处于并发症高风险的患者.
Advanced Endovascular Procedures
在某些情况下,标准血管内修复对患者并不总是可行的. 有时动脉瘤离主动脉的重要分支太近,或动脉太窄或太复杂,不允许在血管内手术中使用导管. In these cases, the patient has three options: no treatment, open surgery, or complex endovascular repair.
UCSF健康中心的血管外科十大赌博平台排行榜开发了新的手术和技术, which are not available at other medical centers, 在复杂情况下使用血管内技术. 这些先进技术可用于胸腹主动脉瘤(TAAA)。, which involve vital arteries to the abdominal organs, or arch aortic aneurysms, involving vital arteries to the brain.
Preparation
Before endovascular surgery, 你会和你的十大赌博平台排行榜见面,他会记录你的病史,并对你进行彻底的身体检查. 你也可以通过测试来确定你的心脏的健康状况, such as a stress test and an electrocardiogram (ECG), which records the electrical activity of the heart.
确定你的动脉瘤是否可以通过血管内手术治疗, you will have tests, including a CT scan and angiography, 它能让你的十大赌博平台排行榜看到你的主动脉和血管. 这些检查还可以让十大赌博平台排行榜选择合适大小的移植物.
During this time, 你的十大赌博平台排行榜会和你讨论血管内手术, and answer any questions you may have.
Procedure
Before the procedure begins, 你会有镇静剂和局部麻醉,使你更舒适,麻醉手术区域, 或者全身麻醉,让你完全入睡. 插入的区域将被清洁和剃须,以防止感染. 你的十大赌博平台排行榜会在臀部周围做一个小切口, near the crease between the hip and thigh, to access your blood vessels. 导丝通过切口插入,并通过血管推入动脉瘤.
特殊的x光片可以让你的十大赌博平台排行榜看到动脉瘤的确切位置. 在这一点上,他或她将插入导管-一个长,灵活的窄管-在导丝. 导管用于携带移植物通过血管到达动脉瘤上方的主动脉. Once in place, the graft is released from the catheter and expands, blocking the flow of blood to the aneurysm, which will shrink the aneurysm over time.
Before the procedure is finished, 将进行x光检查以确认主动脉内的血液正在通过移植物流动, not through the aneurysm. 然后用缝合线缝合髋关节附近的切口.
Recovery
手术后,您将由我们的专家团队密切监测和照顾. 大多数病人在十大赌博平台排行榜呆两到三天. 手术后的第一天,你可以走路和吃饭. However, 大多数患者在手术后大约两周会感到精力和食欲下降.
When you are able to go home, you may take sponge baths, 但是在伤口完全愈合之前不要浸泡伤口. 大多数患者能够在手术后4到6周内恢复正常活动.
Follow Up
One to two weeks after surgery, 您将与您的十大赌博平台排行榜进行后续预约,以检查您的恢复进度. One and six months following surgery, 你需要做影像学检查以确保移植物功能正常. 第一年之后,您将每年进行影像学检查,检查您的动脉瘤和移植物.
Complications
与任何手术一样,血管内手术确实有潜在的并发症,其中可能包括:
- Blockage of the blood flow through the graft
- 术后不久出现发热和白细胞计数增加
- Graft fracturing
- Infection
- Leaking of blood around the graft
- 移植物远离目标位置的运动
其他罕见但严重的并发症包括:
- Blocked blood flow to the abdomen or lower body
- Burst artery
- Delayed rupture of the aneurysm
- Injury to kidneys
- Paralysis
加州大学旧金山分校健康医学专家已经审查了这些信息. 它仅用于教育目的,并不打算取代您的十大赌博平台排行榜或其他医疗保健提供者的建议. 我们鼓励您与您的供应商讨论您可能遇到的任何问题或疑虑.