New technique of hybrid surgery to treat arterial asthele in the intestinal membrane

recently, Shandong ProvincialHospitalvascular surgery expert, doctoral tutor Professor Venus led by the vascular surgery expert group, the application of the abdominal membrane artery incision and balloon dilating stent vascular hybridization surgery new technology, successfully for a chronic intestinal membrane artery apleies and endure the pain of up to nine months of "fear of food" seven-
year-oldto perform vascular re-surgeryAfter surgery, the patient's symptoms completely disappeared, recovered well, and has now recovered and been discharged from the hospitalThe patient who received the treatment of the new technology was an elderlywoman who was, had abdominal pain after the meal for 9 months and was ineffective after multiple treatmentsRecently after the meal pain gradually increased,the elderlybecause of pain and fear of eating, the disease has developed into the night pain unbearable, sleepless through the nightLater, the patient came to Shandong ProvincialHospitalvascular surgeryBy CT arterial imaging, it was diagnosed as a chronic artery apley in the intestinal membraneBecause of this disease
lack of specific symptoms and signs, and clinically rare, often misdiagnosed If not treated in a timely manner, severe malnutrition can occur, eventually causing intestinal necrosis, seriously threatening the life and health of patients Professor Venus led the general practitioner to examine the patient many times, into a walking intestinal membrane artery angiography found that the patient's lesions are close to the artery opening on the intestinal membrane, if the simple use of interventional treatment, the guide wire to the catheter difficult to produce sufficient support, the hope of success is not great; Because the patient also has heavy calcification, the tube wall condition is very poor, the aortic contoral port in surgery appears blood seepage, and even ruptured hemorrhage is very likely If the lesions of the arterial endoscosis, because the lesions section of the blood vessels are located in the intestinal membrane vascular root, the surrounding anatomy is complex, difficult to reveal, more complications In view of the patient's special circumstances, in order to ensure the success of the operation, Professor Venus led the general practitionerfinal finaldecision to adopt the new hybrid surgery of the artery incision and balloon dilation stent vascular forming of the abdominal intestine membrane to relieve the patient's pain After careful preparation, the operation began in an orderly manner The operation was greatly simplified because it did not require the exposed blood vessel roots of the intestinal membrane In front of the duodenal level to reveal the upper artery of the intestinal membrane, and cut, with the X-ray machine starting, the contrast agent slowly injected into the diseased blood vessels, the lesions of the blood vessels clearly displayed on the fluorescent screen, only to see the intestinal membrane artery root completely closed, accurate measurement closed The various data on the seishean artery, consistent with the preoperative angiography measurement data, slowly and accurately entered the narrow vascular cavity by the guide duct inserted from the artery incision of the intestinal membrane, and eventually the wire catheter crossed the lesions and into the abdominal aorta Subsequently, the balloon expansion at the lesion site was carried out, and the contrast showed that the blood flow was restored After placing the vascular stent made of special alloy material into the corresponding area, the blood flow is more smooth, the vascular diameter returns to normal, the open side branch blood vessels all disappear, the operation is a complete success According to Professor Venus, hybrid surgery is the product of the mature development of vascular surgery, is the perfect combination of interventional medicine, surgery and imaging diagnostics three technologies, the use of interventional instruments, in an operating room equipped with a variety of imaging equipment, relying on imaging technology to guide surgical operations and immediate evaluation of surgical efficacy, combined with other conventional surgery to complete the treatment of vascular This surgical method maximizes the benefits to patients with minimal trauma, and also makes the treatment of vascular diseases more perfect, fully reflecting the concept of patient-centered service Compared with traditional surgery, this kind of new surgery trauma is slight, the effect is determined, the recovery is fast after surgery, can solve the problem that can not be solved by simple interventional treatment, is a reliable method of treating the vasculatence of the special area, and has accumulated useful experience for the treatment of chronic intestinal membrane artery aplest After retrieval by literature, the application of the new surgical treatment of the artery amenala closure of the intestinal membrane by the artery incision of the abdominal membrane and the balloon expansion stent hybrid surgery is the first case in China, filling the gap in this field, and opening up a new way for the treatment of arterial amesis on the chronic intestinal membrane (High Country)