血管内手术

血管内手术的评价

血管内手术前, you will meet with your doctor who will take your medical history 和 conduct a thorough physical exam. You also may have tests to determine the health of your heart, such as a stress test 和 an 心电图(ECG)它记录了心脏的电活动.

To determine whether your aneurysm can be treated with endovascular surgery, 你需要做额外的检查. 这些测试包括 CT扫描 和 血管造影术, which allow your doctor to assess your aorta 和 blood vessels. These tests also allow the doctor to select the appropriate size graft for your treatment.

在此期间, your doctor will discuss endovascular surgery with you 和 answer any questions you may have.

血管内手术程序

Before your endovascular surgery begins, you will be put under anesthesia. This will be either a sedative 和 regional anesthesia to make you more comfortable 和 numb the area of operation, though sometimes we may use general anesthesia to put you to sleep completely.

The area of insertion will be cleaned 和 shaven to prevent infections. 下一个, your doctor will make a small incision around your hip, 靠近臀部和大腿之间的折痕处, 进入你的血管. 然后, a guide wire will be inserted through the incision 和 pushed through a blood vessel to the aneurysm.

特殊的 x射线 will be taken so your doctor can see the exact location of the aneurysm. 在这一点上，他们会插入a 导管 -一个长，灵活的窄管-在导丝上. This 导管 will carry the graft through your blood vessels to the aorta above the aneurysm. 一旦就位, 将移植物从导管中取出并扩张, 阻碍了血液流向动脉瘤, 哪一种会使动脉瘤随着时间缩小.

在程序完成之前, x射线 will be taken to confirm that blood in the aorta is flowing through the graft, 不是通过动脉瘤. 然后, the incisions near your hip will be closed with sutures (stitches).

血管内手术后的恢复

After your endovascular surgery, you will be closely monitored 和 cared for by our team of experts. 大多数病人在十大赌博平台排行榜呆两到三天. The first day following your surgery you will be allowed to walk 和 to eat. 然而, most patients will experience reduced energy 和 appetite for approximately two weeks after the operation.

一旦你回家，你可以用海绵洗澡. You should not soak the area around your incision until it has completely healed. Most patients return to their normal activities within four to six weeks after surgery.

血管内手术后随访

手术后一到两周, you will have a follow-up appointment with your doctor to check the progress of your recovery. You will have imaging tests one month after your surgery, 和 again at the six-month mark. These tests are done to check that your graft is working properly. After the first year, you will have annual imaging tests to assess your aneurysm 和 graft.

血管内手术后并发症

Endovascular surgery does have potential complications, which may include:

• 血液在移植物中的流动被阻塞
• Fever 和 an increase in white blood cell count shortly after the surgery
• 贪污压裂
• 感染
• 移植物周围出血
• 移植物远离目标位置的运动

Other complications that are rare, but serious may include:

• 血液流向腹部或下半身受阻
• 动脉破裂
• 动脉瘤延迟破裂
• 肾脏损伤
• 麻痹