Coronary tsinga stenting uye carotid arteries

Stenting of coronary arteries pamwe angioplasty - rechimanjemanje, anenge atraumatic kuvhiyiwa kuti rinoitwa kumidziyo mwoyo, izvo atherosclerotic chinja. kupindira ichi zvainanga kudzorera chakaipa ropa riyerere vhoriyamu kuburikidza pakudzorera arterial patency. Stenting coronary arteries kunosanganisira kutanga dzakachinjwa pathological mutoo rinokosha humburumbira arterial mudziyo pamwe stent. Izvi zvinokonzera pakuwedzera lumen, uye zvinoitika perfusion mwoyo tishu.

Coronary stenting kunoda gadziriro. Zvakakodzera kuti tiite coronary angiography nokuda izvo mwoyo chiremba vasati kuvhiya kuziva sei munyaya pathological muitiro midziyo, zvakadini unofanira kuisa stent umo nzvimbo vanofanira kuisa. Tichienzanisa coronary tsinga yokunzvenga kusonanidzwa panguva nzira hakurevi kucheka nerumbabvu keji, kwete zvinodiwa uye refu postoperative nguva. Coronary stenting nani zvikuru.

Mukurwisa nechirwere chemwoyo , nzira iyi inoshanda chaizvo. Coronary stenting anowana wongororo yakanaka chaizvo. Zvisinei, kusarudza wokuvhiya yasara pamwe kurapa chiremba. Chete anogona vaongorore zvakakwana, inobva chaiwo ezvinhu, vose "zvayakanakira nezvayakaipira".

Handizvo kare akatanga kuva carotid stenting. Nzira iyi yava nzira yakanaka kuvhiyiwa mu maronda ose chepfungwa atherosclerosis. A refu chaizvo nguva yakaramba nzira kusarudza kuti kuvhiya endarterectomy (pasinei kwayo yakakwirira kunotevera, paumbwe apiwa stenosis uye ngozi kuwanda vachangobva), nekuti kana uchishandisa carotid stenting rinowanzoshandiswa dzakabudirira distal embolization uye ischemic nesitiroko. Chete pashure kutanga muitiro endovascular microfilters kuti iiswe pakuvhiya distal kuti aienda uye usarasikirwe chinhu kupfuura kukura masero eropa, iro Zvakanyanya Kunaka Panguva Yepamuviri nzira yakanga stenting. nzira iyi Mabatirwo atherosclerosis yazova yakachengeteka uye inobudirira zvikuru.

Panguva ino Danho nhamba stenting kuti carotid arteries yekudyidzana akapfuudza uwandu zvomusejari endarterectomies. ongororo dzakaratidza kuti stenting yekudyidzana kwakaderedza kuitika ischemic sitiroko uye vanofa. nzira iyi kakawanda anoitwa pasi zvomunharaunda yokutindivadza. Munguva oparesheni, murwere zvakabatana midziyo chaiyo kuti monitors zviratidzo zvinokosha. The chiremba yemanyorero anokurukura murwere pavaipa nguva nenguva dzvinya bhora kana toyi kuita kudzora pfungwa kushanda. Kazhinji, angioplasty rinoitwa pamberi stenting, panguva iyo kuburikidza peripheral tsinga anobudisa mushonga zvishoma nezvishoma aine chibharuma panguva muromo. The anobudisa mushonga zvishoma nezvishoma iri kuiswa panzvimbo yairambidzwa ipapo chibharuma iri inflated, wokukudza lumen yacho tsinga. Panguva kumonyanisa ichi murwere haafungi marwadzo, sezvo ari intima rwengarava havasi tsinga harinzwi. Zvino ichi nzvimbo distal kuisa Sefa kudzivisa embolism. Zvadaro, stent ane zvakasiyana anobudisa mushonga zvishoma nezvishoma. Panoperera oparesheni Sefa hwaputswa uye stent anoramba ari carotid tsinga.

Carotid tsinga stenting - ichi hachisi nzvimbo chete apo peripheral endovascular kupindira anoteererwa. With kukura atherosclerosis dzimwe nzvimbo (semuenzaniso, renal tsinga lesion kana kumugumo arteries) kare dzakachinja endovascular nzira.