Text, photo/ Yangcheng Evening News all-media reporter Zheng Da correspondent Jiang Xin
Recently, the Cerebrovascular Disease Center of the Fifth Hospital of CUHK carried out a case of carotid endarter detachment + balloon thrombosis + arterioplasty through compound surgery.
Doctors perform surgery on patients
65-year-old Huang Mou due to poor blood sugar control to the fifth hospital of cuccid university treatment, the doctor considered the patient's long-term smoking, there is a high risk of cerebrovascular disease, he routinely conducted a cerebrovascular assessment, the examination showed that the patient's left internal carotid artery from the beginning of the long segment occlusion, occlusion artery distal there are appendage thrombosis and luminal stenosis, the left middle cerebral artery blood supply area obvious perfusion delay and perfusion blood flow is insufficient, if the blood vessel is not opened as soon as possible, cerebral infarction may occur at any time, life-threatening.
However, the patient's carotid artery occlusion distance is long, and the traditional open carotid artery intimal decortication can only open the short occluded part of the initial part of the internal carotid artery to the second cervical vertebral body, and cannot open all the blood vessels, and the long-term occlusion causes the occlusion end of the opening of the internal carotid artery to be flat, and it is more difficult for the simple interventional surgical guide wire to enter the exploration and opening.
The hospital's neurointerventional department, endocrinology and metabolic diseases, cerebrovascular diseases, anesthesiology and other multidisciplinary joint consultations decided to adopt a compound surgical plan, that is, carotid artery intimal peeling + balloon embolism + arterioplasty, through a compound operation to solve the problem of long-segment internal carotid artery occlusion.
Subsequently, Yu Benshuai, deputy chief physician of the Department of Neurointerventional Intervention of the Cerebrovascular Disease Center, performed carotid artery intimal detachment + balloon thrombosis + arterioplasty for the patient, and successfully opened the chronic occlusion of the internal carotid artery on the left side, and the patient recovered well and was successfully discharged from the hospital.
It is understood that compound surgery combines the operations that originally need to be completed in different operating rooms and in stages into one operating room, reducing the risk of multiple operations and perioperative periods and reducing the pain of multiple operations for patients. The composite operating room integrates high-end equipment such as angiography, brain function image navigation, and surgical microscope, and doctors can carry out traditional surgical operations and carry out minimally invasive interventional treatment at the same time.
It is reported that chronic long segment carotid occlusion is more common in the clinic, the probability of opening blood vessels in simple traditional surgery or interventional treatment is very low, while the combination of traditional surgical techniques and interventional techniques is used to solve cerebrovascular diseases at one time, patients do not need to transfer multiple times between the interventional catheter room and the surgical operating room, avoid the risk of transport, do not need multiple anesthesia, reduce the risk of surgery and postoperative complications, and shorten the postoperative rehabilitation time.
Source | Yangcheng Evening News Yangcheng Pie
Editor-in-charge | Huang Tie'an
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