Echo-guided

  • 文章类型: Case Reports
    当不是最常见的综合征如腕管综合征或肘管综合征时,周围神经卡压是一种未被诊断的病理。腓浅神经(SPN)的症状性病变发生率低,因为它的诊断有时很复杂。它基于详尽的体格检查和成像测试,例如超声(US)或磁共振成像(RMI)。保守治疗有时可能不够,在难治性病例中需要手术技术。我们介绍了一名通过超声和诊断神经阻滞诊断为腓浅神经卡压的患者,随后通过深部筋膜隧道水平的水力解剖技术解决了该患者。自应用该技术以来,临床过程的完整分辨率令人满意。
    Peripheral nerve entrapment is an underdiagnosed pathology when it is not the most common syndromes such as carpal tunnel syndrome or cubital tunnel syndrome. The symptomatic lesion of the superficial peroneal nerve (SPN) has a low incidence, being its diagnosis sometimes complex. It is based on a exhaustive physical examination and imaging tests such as ultrasound (US) or magnetic resonance imaging (RMI). Conservative treatment may sometimes not be sufficient, requiring surgical techniques in refractory cases. We present a patient diagnosed with superficial peroneal nerve entrapment by ultrasound and diagnostic nerve block that was subsequently resolved by hydrodissection technique at the level of the deep crural fascia tunnel. The results were satisfactory with a complete resolution of the clinical process since the application of this technique.
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  • 文章类型: Journal Article
    尽管急性心包填塞是临床实践中的主要问题之一,仍然缺乏合适的动物模型。我们试图通过回声引导的导管操作在猕猴中产生急性心脏压塞。一只13岁的雄性猕猴被麻醉,在经胸超声心动图引导下,通过左颈动脉将长鞘插入左心室。然后将鞘管插入左冠状动脉的孔口以在左前降支的近端部位穿孔。心脏压塞已成功创建。通过导管将稀释的造影剂注入心包腔,可以在死后计算机断层扫描中清楚地区分心包和周围组织。该程序在导管插入期间不需要X射线成像系统。我们目前的模型将帮助我们检查存在急性心脏压塞的胸内器官。
    Although acute cardiac tamponade is one of the major problems in clinical practice, a suitable animal model is still lacking. We tried to create acute cardiac tamponade in macaques by echo-guided catheter manipulation. A 13-year-old male macaque was anesthetized, and a long sheath was inserted into the left ventricle via the left carotid artery under the guidance of transthoracic echocardiography. The sheath was then inserted into the orifice of the left coronary artery to perforate the proximal site of the left anterior descending branch. A cardiac tamponade was successfully created. Injection of diluted contrast agent into the pericardial space via a catheter made it possible to clearly distinguish between the hemopericardium and the surrounding tissues on postmortem computed tomography. This procedure did not need an X-ray imaging system during catheterization. Our present model would help us examine the intrathoracic organs in the presence of acute cardiac tamponade.
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  • 文章类型: Journal Article
    The study evaluated an echo-guided oocyte recovery technique in owl monkeys. Twelve females were selected for the transabdominal ovum retrieval technique. This procedure collected twenty-six follicles, of which nine oocytes were recovered, without harm to the animals. The technique is feasible and is a minimally invasive protocol for neotropical primates.
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