腔内介入治疗腹主动脉瘤__培训课件.ppt

腔内介入治疗腹主动脉瘤__培训课件.ppt

  1. 1、本文档共31页,可阅读全部内容。
  2. 2、原创力文档(book118)网站文档一经付费(服务费),不意味着购买了该文档的版权,仅供个人/单位学习、研究之用,不得用于商业用途,未经授权,严禁复制、发行、汇编、翻译或者网络传播等,侵权必究。
  3. 3、本站所有内容均由合作方或网友上传,本站不对文档的完整性、权威性及其观点立场正确性做任何保证或承诺!文档内容仅供研究参考,付费前请自行鉴别。如您付费,意味着您自己接受本站规则且自行承担风险,本站不退款、不进行额外附加服务;查看《如何避免下载的几个坑》。如果您已付费下载过本站文档,您可以点击 这里二次下载
  4. 4、如文档侵犯商业秘密、侵犯著作权、侵犯人身权等,请点击“版权申诉”(推荐),也可以打举报电话:400-050-0827(电话支持时间:9:00-18:30)。
查看更多
* * Arteries are composed of three layers: ADVENTITIA The outer layer of the artery Composed primarily of connective tissue and elastic fibers Provides elastic and structural strength to the artery MEDIA The middle layer of the artery Composed of smooth muscle tissue Provides strength to the artery by allowing constriction/dilation. Weakening of this layer usually results in an aneurysm. Receives blood supply by diffusion and is innervated by the sympathetic nervous system. INTIMA The innermost arterial layer Paper-thin and composed primarily of endothelial cells Provides a smooth, thrombi-resistant surface and is nourished by the blood flowing through the artery. It is easily damaged by guidewires, catheters or plaque. Atherosclerosis is a disease caused by thickening of the intima. * Explain which type the patient has; note that saccular aneurysms will most likely need to be treated ASAP, regardless of the size. * The first endovascular AAA repair was reported by Dr. Parodi in 1991. We have come a very long way since that initial report. Mortality after endovascular aneurysm repair is approximately 1 to 2 percent, or approximately 1 / 3 that of open surgical repair. For ruptured aneurysms we have made some progress, but clearly not enough: The mortality rate continues to be fairly high at 15-20 percent. The risk of complications, including minor and major types, is 20-30 percent. The risk of lifetime secondary interventions is 10-15 percent. * LOGO 腹主动脉瘤 金昌 Abdominal aortic aneurysm, AAA Ref. Principles of Human Anatomy Third Edition by Gerard J. Tortora 动脉解剖 右肾动脉 左肾动脉 髂总动脉 肝固有动脉 肠系膜上动脉 肠系膜下动脉 腹腔干 Arterial Anatomy动脉解剖 Copyright 1989. Novartis. Reprinted with permission from the Atlas of Human Anatomy, illustrated by Frank H. Netter, M.D. All rights reserved. 腹主动脉瘤定义 定义: 腹主动脉管壁 永久性局限性扩张 直径正常50% 病理生理 炎症:白细胞 细胞因子 自身抗原 蛋白水解酶:MMP-2,MMP-9 uPA,tPA 生物力学应力:弹性蛋白分布 血流湍流

文档评论(0)

该用户很懒,什么也没介绍

1亿VIP精品文档

相关文档