在视觉下部署气道硅支架的新技术--Vidyasagar 博士的技术。

IF 0.8 Q4 RESPIRATORY SYSTEM
Respirology Case Reports Pub Date : 2024-10-13 eCollection Date: 2024-10-01 DOI:10.1002/rcr2.70042
Belgundi Preeti Vidyasagar, Harikishan Gonuguntla, Sejal B Radia, Suhas Dhulipala
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引用次数: 0

摘要

传统的硅支架植入方法建议使用外部装载装置,将支架折叠到装载装置中,然后使用外部推杆将其推入气管支气管树,这种方法是盲目的,会导致支架放置在远端或近端,需要重新定位,或者需要通过涉及辐射暴露的透视来完成。我们展示了使用该技术成功置入硅支架的 16 个病例的经验,在该技术中,超薄柔性支气管镜或霍普金斯硬质望远镜与夹持折叠硅支架上端的镊子一起推入,从而在直视下控制支架置入。支架的近端可在部署前在视野下拉动,以便在拉动硬质镜筒时进行适当定位。支架始终处于操作者的控制之下,可提供出色的置放控制,简化了手术过程,而且安全无并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A novel technique of airway silicon stent deployment under vision-Dr. Vidyasagar's technique.

The conventional methods of silicon stent insertion recommend usage of external loading devices, where the stent is folded into the loading device and pushed in to the tracheobronchial tree using an external pusher which is blind, and leads to placement of stent either distally or proximally needing repositioning or is done with fluoroscopy that involves radiation exposure. We demonstrate our experience in 16 cases of successful silicon stent placement using this technique, wherein an Ultrathin flexible bronchoscope or Hopkins Rigid telescope is pushed alongside the forceps that hold upper end of the folded silicon stent allowing stent placement under direct vision with control over the stent. The Proximal end of the stent can be pulled under vision before deployment for appropriate positioning while pulling the rigid barrel. The stent is always under the operator's control providing excellent control over placement, simplifies the procedure and is safe with no reported complications.

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来源期刊
Respirology Case Reports
Respirology Case Reports RESPIRATORY SYSTEM-
CiteScore
1.40
自引率
0.00%
发文量
178
审稿时长
8 weeks
期刊介绍: Respirology Case Reports is an open-access online journal dedicated to the publication of original clinical case reports, case series, clinical images and clinical videos in all fields of respiratory medicine. The Journal encourages the international exchange between clinicians and researchers of experiences in diagnosing and treating uncommon diseases or diseases with unusual presentations. All manuscripts are peer-reviewed through a streamlined process that aims at providing a rapid turnaround time from submission to publication.
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