Coronary artery stenting a me ka carotid arteries

Stenting o ka coronary arteries me angioplasty - he laekahi, kokoke e atraumatic hana i ua hana ma luna o nā ipu a pau o ka naau, a atherosclerotic loli. Kēia 'uao pahuna ma ka hoihoi hou ana maʻamau koko ka leo ma ka hoihoi hou ana i arterial patency. Stenting coronary arteries komo ai i ka hoʻokomo 'ia' ana o ka Hoʻololi 'pathological kaʻina he kūikawā paukūʻolokaʻa arterial moku me ka stent. Kēia kumu i ke anoe o ka lumen, a me ka maʻamau perfusion o ka naau'aʻaʻa.

Coronary stenting pono e hoʻomākaukau ai. Pono e lawe mai coronary angiography ma muli o ia i naau surgeon muaʻoki kino e ike pehea ke komo pū o loko o ke kaʻina ipu pathological, pehea ka nui o kou pono e waiho i kekahi i loko o stent a wahi ka mea, pono e e kau ai. Ke hoʻohālikelike me coronary artery holo alaʻokoʻa pakuiia auanei lakou i ke kaʻina hana 'aʻole i koi kua o ka iwiʻaoʻao nā hīnaʻi manu,ʻaʻole e pono ai a me ka lōʻihi postoperative wā. Coronary stenting mea nui lua pele.

I ke kaua ana i ka coronary naau maʻi , i kēia iaoiaeii ka loa ka hoʻokō. Coronary stenting loaʻa loa maikaʻi nāʻana. Naʻe, ka mea i waeia o kaʻoki kino no i koe me ka hana maikaʻi kauka. Wale ia e loiloi i ponoʻole, ma muli o ka hana kulana, a pau i ka "pros a me Con".

'Aʻole no laila, lōʻihi aku nei, hoomaka ae la e hoʻomōhala carotid stenting. Kēia papa hana ua lilo i ka maikai makemake eʻoki kino i loko o lesions o cerebral atherosclerosis. A lōʻihi loa ka manawa i koe i ke ano o ke koho no kaʻoki lāʻau lapaʻau endarterectomy (mamua kona kiʻekiʻe trauma, i ke kahua o ka hou-stenosis a me ka pilikia o ka hoʻonuiʻana o ka hopena), no ka mea, ka wā hoʻohana carotid stenting ua pinepine ulu distal embolization a me ischemic hahau ana. Wale nō ma hope o ka hoʻokomo 'ia' ana o ka hana o ka endovascular microfilters i Ua hoʻouka kekahi iʻoki kino distal i ka hou, aʻaʻole hoʻi e hala i kekahi i ka mea oi ma mua o ka nui o ke koko keena, ka mea e pono ai iaoia ua stenting. Ua lilo i ka palekana lahui pono a me keia ano o ka hana maikaʻiʻole o ka atherosclerosis.

Ma ka keia kahua helu stenting o carotid arteries me ka nui loa aku i ka helu o keʻoki lāʻau lapaʻau endarterectomies. He haʻawina Ua hōʻike i stenting me ka nui loa hoemi ia i ka mea hiki wale mai o ischemic hahau a me ka make. Kēia ke kaʻina hana no ka loa pinepine hana ma lalo o kūloko anesthesia. Iloko o ka hana, ke hoʻomanawanui ua pili i ka kūikawā lako a pan e nā kahu nānā nui na hoailona. Ke surgeon nō kāu hōʻike ana me ka hoomanawanui haawi kauoha ana ma ke kamepiula oOeEIAOO i ka poepoe ai liʻiliʻi, e lawe mai i ka mana o ka lolo functioning. Nui, angioplasty ua hana mua stenting, ma a ma kaʻike ākea artery catheter me ka hoʻonui ma ke kihi. Ke catheter Ua hoʻouka kekahi ma ka wahi o ke kapu, alaila, ua inflated ke hoʻonui, hoʻonui i ka lumen o ka artery. Iloko o keia manipulation ka hoʻomanawanui 'aʻole i haha aku ka eha, e like me ia ma ka intima o ka moku i ole nā aʻalolo a hāʻule pahū wale. A laila, i kēia paena distal e hoʻonoho Kānana pale embolism. Next, ka stent me ka okoa catheter. I ka pau ana o ka hana i ka Kānana mea ka weheʻana, a me ka stent koe i loko o ka carotid artery.

Carotid artery stenting - keia mea i ka mea wale nō kahi e kū nei kaʻike ākea endovascular uao ai 'ua mālamaʻia. Me ka hooulu ana o ka atherosclerosis ma nā kahua (e laʻa me,ʻaʻa puʻuwai artery lesion ole nuku arteries) ka mea, ua mea maʻa mau like endovascular 'ana i kūpono.