Yenhliziyo Umthambo stenting futhi carotid imithambo

Stenting kwemithambo yegazi yenhliziyo nge angioplasty - a, ukusebenza yesimanje cishe atraumatic ukuthi wenziwa ku izitsha inhliziyo, okuyinto ushintsho atherosclerotic. Lesi sinyathelo okuhloswe ngaso ekubuyiseleni evamile igazi ligeleze ivolumu ngokubenza baphinde patency ekhipha igazi enhliziyweni. Stenting nemithambo yegazi yenhliziyo kuhilela ukwethulwa Ushintshe inqubo sokugembula ekhethekile isilinda lwemithambo isitsha ne stent. Lokhu kubangela ukunwetshwa mafutha anciphisa isikhala esingaphakathi, kanye perfusion evamile ijwabu inhliziyo.

stenting coronary kudinga ukulungiselela. Idingekile ukuze angiography yenhliziyo ngenxa okuyinto ohlinza inhliziyo ngaphambi kokuhlinzwa ukuze ukwazi nesifiso sokuthandana kanjani enqubeni izitsha sokugembula, kungakanani udinga ukubeka stent lapho endaweni badinga isethwe. Kuqhathaniswa yenhliziyo Umthambo dlula ngokuxhunyelelwa phakathi naleyo nqubo akudingi ukusika yezinyoni ubambo, engaswele futhi eside isikhathi nasezinkingeni ezilandela ngemva kokuhlinzwa. stenting coronary kuphephile kakhulu.

In ekulweni nesifo senhliziyo nemithambo yayo , le ndlela iphumelela kakhulu. stenting coronary uthola Izibuyekezo ezinhle kakhulu. Nokho, i-choice ukuhlinzwa namanje uhlala ne udokotela ekwelapheni. Nguye kuphela ongabhubhisa ukuhlola ngokwanele, esekelwe esimweni esithile, zonke "ngobuhle nangobubi bawo".

Hhayi kudala basungula stenting carotid. Le ndlela esiye abe ehlukile enhle ukuhlinzwa e izilonda isifo sokuqina kwemithambo yegazi cerebral palsy. A isikhathi eside kakhulu wahlala indlela ekhethwa endarterectomy kuhlinzwa (naphezu ukuhlukumezeka yaso ephezulu, ukwakheka kabusha stenosis futhi ingozi ekwandeni ngasekupheleni), ngoba uma usebenzisa carotid stenting ngokuvamile ithuthukiswe embolization distal nonhlangothi ischemic. Kuphela emva isingeniso umkhuba microfilters endovascular efakwe phakathi nokuhlinzwa distal ukuba ukuvaleka futhi ungaphuthelwa yini ingaphezu ubukhulu kwamangqamuzana egazi, indlela elilungile kwaba stenting. Le ndlela ukwelapha isifo sokuqina kwemithambo yegazi isibe iphephile futhi isebenza ngempumelelo kakhulu.

Ngesikhathi samanje inombolo esiteji stenting ka carotid imithambo kakhulu lidlula inani endarterectomies kuhlinzwa. ucwaningo oluningana luye lwabonisa ukuthi stenting kakhulu sinciphise tigameko unhlangothi ischemic futhi ngokwempilo yangenyama. Le nqubo ivame kakhulu eyenziwa ngaphansi izinzwa wendawo. Phakathi ukusebenza, isiguli ixhunywe imishini ekhethekile ukuthi uqaphe izimpawu ezibalulekile. Udokotela ohlinzayo ngokuvamile baxhumana isiguli kokunikeza iziyalo ngezikhathi cindezela ibhola noma ithoyizi ukufeza ukulawula ingqondo ukusebenza. Ngokuvamile, angioplasty wenziwa ngaphambi stenting, phakathi kwesikhathi lapho ngokusebenzisa neuropathy Umthambo ipayipi nge ibhaluni eliseningizimu. I ipayipi efakwe esikhundleni umkhawulo ke ibhaluni is Ayihaba, ukwandisa mafutha anciphisa isikhala esingaphakathi we Umthambo. Ngalesi zokukhwabanisa isiguli engazizwa ubuhlungu, + njengasosukwini lokungivivinya intima imithambo Awekho eziyimpumelelo emsipheni. Khona-ke lo distal indawo ukusetha okokuhlunga ekuvimbeleni embolism. Okulandelayo, stent nge ipayipi ezahlukene. Ekupheleni ukusebenza lemifanekiso kuyinto ekhishiwe kanye stent uhlala Umthambo carotid.

Carotid Umthambo stenting - lokhu akulona nje endaweni lapho neuropathy ukungenelela endovascular kuyenziwa. With ukuthuthukiswa isifo sokuqina kwemithambo yegazi ngesikhathi kwamanye amasayithi (isib kwezinso Umthambo lesion noma emkhawulweni imithambo) it is ngokwesiko kushintshwe amasu endovascular.