Coronary stenting iatuku me te kakī pera

Stenting o nga iatuku pūngākau ki angioplasty - he hou, mahi tata atraumatic whakamana e te i runga i nga oko o te ngakau, i te tauiraa atherosclerotic. Tenei wawaotanga hāngai ana i te whakaora i rōrahi rere toto noa na roto i te whakaora i patency matua. Stenting iatuku pūngākau tā te whakataki o te tukanga pathological whakarerekētia te oko puoto matua motuhake ki te stent. ai tenei te roha o te lumen, me te perfusion noa o te kiko ngakau.

E titau te faaineineraa stenting coronary. E tika ana ki te kawe i roto i angiography coronary tika ki nei taote ngakau i mua i pokanga ki te mohio pehea te wāhi i roto i te pathological oko tukanga, te nui e hiahia ana koe ki te hoatu i te stent i ai wahi e hiahia ana ratou ki te kia whakaturia. Ina whakaritea ki coronary täpiritanga iatuku karo i roto i te tukanga e kore e rapua tapahi i te whare herehere rara, e kore e hiahiatia ana me te wā roa postoperative. Ko nui haumaru stenting coronary.

I roto i te whawhai ki te mate ngakau coronary , Ko te tino whai hua tenei tikanga. whiwhi stenting coronary arotake rawa pai. Heoi, noho tonu tonu te kōwhiringa o te pokanga ki te rata te rongoā. ia anake e taea te arotake i āta, e hāngai ana i runga i te āhuatanga ngā, te "pai me ngā raruraru" katoa.

E kore e pera i mua timata ki te whakawhanake i stenting kakī. kua waiho i tēnei aratuka he rerekē pai ki te pokanga i pāpaka o te atherosclerosis kaka. He wa tino roa noho te tikanga o te pai rawa mō te endarterectomy hāparapara (ahakoa tona whētuki tiketike, te hanganga o te re-stenosis me te mōrea o te tini o te mutunga), no te mea ka whakamahi i kakī stenting te maha whakawhanakehia embolization distal me patu rere pūroto. i muri anake i te kupu whakataki o te mahi o microfilters endovascular e kua tāuta i roto i te pokanga distal ki te whāiti me te kore e taha tetahi i te mea neke atu i te te rahi o ngā pūtau toto, ko te tikanga tino pai stenting. riro i tēnei tikanga o te maimoatanga o te atherosclerosis kua he haumaru, me te tino whai hua.

I te reira stenting tau atamira o pera kakī tino nui te maha o endarterectomies hāparapara. Kua whakaaturia ngā maha e stenting tino heke te pā o te patunga rere pūroto , me te tahuti nei. Kei te tino maha whakamana tenei tukanga raro rehunga rohe. I roto i te mahi, te hono te manawanui ki te taputapu motuhake e aroturuki tohu faufaa. Te taote tikanga paraparau ki te manawanui hoatu tohutohu wā kōpeke te pōro ha'uti ranei ki te kawe i te mana o te mahi roro. Ko te tikanga, whakamana angioplasty te aroaro o stenting, i roto i nei i roto i te pū tōngāmimi iatuku piringa ki te poihau i te matamata. tāuta te pū tōngāmimi te i wahi o te rāhuitanga, ka te rimurapa te poihau, whakawhānui i te lumen o te uaua. I roto i tenei whawhe kore e te manawanui ite mamae, pera i roto i te intima o oko he kahore hopearaa io. Na ka ki tenei distal pae whakaturia tātari ārai Embolism. Next, te stent ki te pū tōngāmimi rerekē. I te mutunga o te mahi ko tangohia te tātari, me te noho tonu te stent i roto i te uaua kakī.

Kakī iatuku stenting - e kore te mea anake te rohe i reira e whakamana nga wawaotanga endovascular piringa tenei. Ki te whanaketanga o te te atherosclerosis i ētahi atu pae (hei tauira, tākihi lesion iatuku pera pito ranei) Kei te tuku iho i te reira whakaritea tikanga endovascular.