“解构操作”超声·CT·透视多模态影像拆解手术操作; Anatomy in Action: Decoding Structural Procedures via Triple Imaging——session 2 - 股动/静脉入路建立教学
07/10 13:30-15:00
分会场5-悦府11
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13:30-15:00Course Director:陈样新、庄晓东、姚晶、丁风华、钟禹成、叶志东、段福建、陈涛
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13:30-15:00主席
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13:30-15:00协调人
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13:30-15:00讲师团
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13:30-13:38Mini Lecture: 按“图”索骥,了然于“胸”:外周股动静脉穿刺的临床解剖学要领;Mapping the Access: Clinical Anatomy Essentials for Femoral Artery and Vein Puncture
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13:38-13:46Mini Lecture: “超”凡视野,指哪打哪:超声直视下股动静脉穿刺的私房私语;The Sonic Eye: Personal Tips and Tricks for Ultrasound-Guided Vascular Access
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13:46-13:54Mini Lecture: 借“光”引路,毫厘不差:X线透视指导股动静脉精准穿刺的实战心法;Fluoroscopic Precision: Personal Pearls for X-ray Guided Access Optimization
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13:54-14:02Mini Lecture: “无”缝衔接:大管径血管缝合器的高阶使用技巧与心得;Seamless Closure: Mastering Large-Bore Vascular Closure Devices with Confidence
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14:02-14:17血管缝合器模拟;Hands-on Simulation: Large-Bore Vascular Closure Devices
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14:17-15:00Trouble shooting;ACCESS-TAVI Trial 联合血管缝合/封堵器?入路建立常见的并发症有哪些?哪些操作容易产生并发症?如何标准化操作最大程度避免并发症?如何处理闭塞并发症?如何处理出血并发症?当术前CT提示髂股动脉极重度钙化、管腔狭窄或呈“发卡弯”扭曲,而该患者又是大管径TAVR的唯一入路时,如何利用常规导丝技术进行“硬通关”?术中发生不可控制的血管撕裂或假性动脉瘤时,覆膜支架的覆写时机和技巧是什么?预缝合(ProGlide等)拔鞘后发生断线、未成功打结或血管壁撕裂大出血时,除了外科切开直视修补,在导管室内有哪些迅速、规范的介入压迫(如双导丝交叉压迫、Crossover球囊封堵技术)或覆膜支架置入作为B计划? ;Insights from the ACCESS-TAVI Trial: Combining Vascular Closure Devices with Plug-Based Systems? What are the common access-site complications, and which specific maneuvers trigger them? How can we standardize the access workflow to minimize the incidence of complications? Management strategies: How to handle acute occlusive vs. hemorrhagic vascular complications? The heavily calcified and tortuous access: Wire navigation techniques and covered-stent bailouts for catastrophic tears. VCD Failure Bailouts: Utilizing the crossover balloon occlusion technique vs. covered stent deployment as Plan B.