全英腦血管介入治療演講人：日期:目錄CATALOGUEIntroductiontoCerebrovascularInterventionalTherapyBasicPrinciplesofInterventionalTherapyCerebrovascularDiseasesandTheirTreatmentProcedureandTechniquesofCerebrovascularInterventionalTherapy目錄CATALOGUERisks,ComplicationsandManagementStrategiesFuturePerspectivesofCerebrovascularInterventionalTherapy01IntroductiontoCerebrovascularInterventionalTherapyPART采用血管內(nèi)介入技術(shù)，通過(guò)導(dǎo)管、球囊、支架等器械對(duì)腦血管進(jìn)行診斷和治療的方法。全英腦血管介入治療一種高度惡性的腫瘤，常繼發(fā)于葡萄胎妊娠或流產(chǎn)，對(duì)化療敏感，但預(yù)后較差。惡性滋養(yǎng)細(xì)胞腫瘤在X射線透視下，通過(guò)導(dǎo)管等器械進(jìn)入血管內(nèi)進(jìn)行診斷和治療的技術(shù)。血管內(nèi)介入技術(shù)DefinitionandBackground010203臨床應(yīng)用全英腦血管介入治療已廣泛應(yīng)用于腦動(dòng)脈瘤、腦動(dòng)靜脈畸形、頸動(dòng)脈狹窄等腦血管疾病的治療。早期應(yīng)用全英腦血管介入治療最早應(yīng)用于腦動(dòng)脈瘤、腦動(dòng)靜脈畸形等腦血管疾病的治療。技術(shù)進(jìn)步隨著導(dǎo)管、球囊、支架等器械的不斷改進(jìn)，全英腦血管介入治療技術(shù)越來(lái)越成熟，適應(yīng)癥也越來(lái)越廣。DevelopmentandApplications創(chuàng)傷小全英腦血管介入治療創(chuàng)傷小，患者恢復(fù)快，降低了手術(shù)風(fēng)險(xiǎn)。操作簡(jiǎn)便全英腦血管介入治療操作簡(jiǎn)便，對(duì)醫(yī)生的技術(shù)要求相對(duì)較低，易于推廣。介入部位準(zhǔn)確全英腦血管介入治療介入部位準(zhǔn)確，能夠直達(dá)病變部位，提高治療效果。并發(fā)癥少全英腦血管介入治療并發(fā)癥少，患者痛苦小，易于接受。ImportanceinModernMedicine02BasicPrinciplesofInterventionalTherapyPARTImagingGuidanceTechniquesX-rayFluoroscopy01Real-timeimagingtoguidecatheterinsertionanddeployment.MagneticResonanceImaging(MRI)02Providesdetailedimagesofbloodvesselsandsurroundingtissues.ComputedTomography(CT)03Usedtovisualizebloodvesselsanddetectbleedingorblockages.Ultrasound04Non-invasiveimagingtechniqueusedtoassessbloodflowandvesselstructure.UseofCathetersandOtherDevicesBalloonAngioplastyInflatesaballoonatthetipofthecathetertowidenbloodvessels.StentsSmallmeshtubesinsertedintobloodvesselstokeepthemopen.EmbolizationCoilsUsedtoblockbloodflowtoaneurysmsorAVMs.Drug-ElutingDevicesReleasemedicationstopreventrestenosisorclotformation.ReducedTraumaSmallerincisionsandlesstissuedamagecomparedtoopensurgery.LowerRiskReducedriskofinfection,bleeding,andothercomplications.LocalAnesthesiaManyprocedurescanbeperformedunderlocalanesthesia,reducingpatientdiscomfort.FasterRecoveryPatientstypicallyreturntonormalactivitiesmorequickly.MinimallyInvasiveApproach0102030403CerebrovascularDiseasesandTheirTreatmentPARTCerebrovascularstenosisNarrowingofthebloodvesselsinthebrain,oftenduetoatherosclerosisorothervasculardiseases.CerebralaneurysmAweakspotinabloodvesselwallthatballoonsoutandfillswithblood.Arteriovenousmalformation(AVM)Atangleofabnormalbloodvesselsinthebrainthatbypassnormalbraintissue.StrokeAsuddeninterruptioninthebloodsupplytothebrain,causingbraincellstodie.CommonCerebrovascularDiseasesDiagnosisandEvaluationMethodsSuchasMRI,CTscans,andangiogramstovisualizebloodflowanddetectabnormalities.ImagingtestsTestingreflexes,coordination,andsensoryfunctionstoassessbrainfunction.Toidentifyinheritedconditionsthatmayincreasetheriskofcerebrovasculardiseases.NeurologicalexaminationTocheckformarkersofinflammation,clotting,andotherconditionsthatmayincreasestrokerisk.Bloodtests01020403GenetictestingInterventionalTherapyOptionsWideningnarrowedbloodvesselswithaballoonand/orplacingastenttokeepthevesselopen.AngioplastyandstentingInsertingtinycoilsintoacerebralaneurysmtoblockbloodflowandpreventrupture.CoilingRemovingabloodclotfromablockedbloodvesseltorestorebloodflowtothebrain.ThrombectomyInjectingasubstancetoblockbloodflowtoanAVMorotherabnormalbloodvessels.Embolization0204010304ProcedureandTechniquesofCerebrovascularInterventionalTherapyPARTPre-proceduralPreparationPatientSelection01Evaluatepatienteligibilitybasedonclinicalsymptoms,imagingfindings,andmedicalhistory.InformedConsent02Explaintheprocedure,risks,andbenefitstothepatientandobtainwrittenconsent.PatientPreparation03Fasting,sedation,andhairremovalatthepuncturesite.EquipmentPreparation04Ensuretheavailabilityofinterventionalradiologyequipment,includingimagingdevices,catheters,andembolizationmaterials.Step-by-StepGuidetotheProcedureAnesthesiaandPainManagement01Administerlocalanesthesiaandmanagepatientpainduringtheprocedure.VascularAccess02Puncturethefemoralorradialarteryandinsertasheathtoallowforcatheterinsertion.Angiography03Injectcontrastmediatovisualizethecerebrovascularanatomyandidentifythetargetlesion.Intervention04Deployappropriateinterventionaldevices,suchasballoons,stents,orembolizationcoils,totreatthelesion.MonitoringCloselymonitorvitalsigns,neurologicalstatus,andpuncturesiteforcomplications.Post-proceduralCareandFollow-up01PainManagementAdministerpainmedicationsasneededtoalleviatepost-proceduralpain.02WoundCareKeepthepuncturesitecleananddry,andchangedressingsasneeded.03Follow-upScheduleregularfollow-upappointmentstomonitorforrecurrenceandassesstheeffectivenessoftheintervention.0405Risks,ComplicationsandManagementStrategiesPARTStroke:Oneofthemostseriouscomplications,whichcanleadtopermanentbraindamageordeath.Bleeding:Mayoccuratthepuncturesiteorwithinthebrain,causingsymptomssuchasheadache,vomiting,andseizures.Bloodclots:Formationofbloodclotswithinthecatheterorbloodvessels,leadingtoreducedbloodflowandpotentialischemicstroke.Infection:Riskofinfectionatthepuncturesiteorwithinthebrain,whichmayrequireantibioticsorsurgicalintervention.Allergicreactions:Somepatientsmayhaveallergicreactionstothecontrastdyeormedicationsusedduringtheprocedure.PotentialRisksandComplications0102030405SteriletechniqueStrictadherencetosterileproceduresduringtheentireprocesstominimizetheriskofinfection.Pre-procedureevaluationComprehensiveassessmentofpatient'smedicalhistory,physicalcondition,andimagingstudiestoidentifypotentialrisks.AnticoagulationtherapyAdministrationofbloodthinnerstopreventbloodclotsduringandaftertheprocedure.PreventionandManagementStrategiesClosemonitoringofvitalsignsandneurologicalstatusduringandaftertheprocedure,withpromptmanagementofanycomplications.MonitoringandobservationAppropriatecareandfollow-uptomanageanysymptoms,preventcomplications,andensureoptimalrecovery.Post-procedurecarePreventionandManagementStrategiesPatientEducationandSupportInformedconsent01Ensuringpatientsandfamiliesunderstandtherisks,benefits,andalternativestotheprocedure.Educationonrisksandcomplications02Providingdetailedinformationaboutpotentialrisksandcomplications,aswellasmeasurestopreventormanagethem.Emotionalsupport03Offeringemotionalsupportandreassurancetopatientsandfamiliesthroughouttheprocess.Follow-upcare04Arrangingregularfollow-upappointmentstomonitorprogress,addressconcerns,andprovideongoingsupport.06FuturePerspectivesofCerebrovascularInterventionalTherapyPARTImagingtechnology:DevelopmentsinimagingtechniquessuchasMRI,CT,andDSAenablemoreaccurateandreal-timevisualizationofcerebrovascularstructures,guidinginterventionalprocedureswithhigherprecision.RoboticsandAI:Theintegrationofroboticsandartificialintelligenceintocerebrovascularinterventionaltherapypromisesenhancedproceduralaccuracy,efficiency,andsafetythroughadvancedimage-guidedsystemsandautomatedsurgicalrobots.Minimallyinvasivetechniques:Innovationsincatheterdesign,materials,andnavigationalsystemsallowforlessinvasiveprocedures,reducingpatienttrauma,recoverytime,andcomplicationrates.AdvancesinTechnologyandTechniquesExpandingApplicationsandNewTherapeuticOptions01Cerebrovascularmalformations:Advancesininterventionaltechniqueshaveexpandedthetreatmentoptionsforcerebrovascularmalformations,suchasaneurysms,AVMs,andfistulas,allowingformoreeffectiveandlessinvasivemanagement.0203Tumorembolization:Interventionaltherapyplaysacrucialroleintheembolizationofcerebraltumors,deliveringtargetedtherapiesandreducing