Treatment of patent ductus arteriosus

What are the treatments for patent ductus arteriosus? The incidence of patent ductus arteriosus is getting higher and higher. This disease can cause great harm to people and may lead to a variety of diseases such as arterial blockage. Therefore, the treatment of patent ductus arteriosus is imminent. However, many people do not know much about the treatments for patent ductus arteriosus. Let's take a look at the treatments for patent ductus arteriosus.

1. Non-surgical treatments, including diet control, proper exercise, smoking cessation, keeping warm, application of lipid-lowering drugs, vasodilators, traditional Chinese medicine, limb negative pressure therapy, etc. The above treatments can also be used before and after surgery.

2. Surgical treatment. Depending on the extent of the lesion and the collateral circulation, the following surgical methods can be selected: (1) Arterial bypass surgery, using artificial blood vessels or autologous veins to perform bridge-type end-to-side anastomosis at the proximal and distal ends of the occluded artery to reconstruct blood flow. It can be divided into anatomical bypass (near the lesion) and non-anatomical bypass (far away from the lesion). The former is often used, while the latter is only used when there is local infection or it is difficult to tolerate laparotomy or thoracotomy.

3. The principle is to use a high-speed rotating device to grind the atherosclerotic plaque into extremely fine particles. The crushed atherosclerotic plaque debris and microparticles can be swallowed by the reticuloendothelial system and will not cause distal blood vessel blockage. Theoretically, arteriosclerosis obliterans can remove calcified plaques on the blood vessel wall without damaging the blood vessel wall. This type of surgery has several advantages:

(1) The success rate of interventional procedures is high for lower extremity arteriosclerosis obliterans.

(2) Treatment indications: Wide-limb arteriosclerosis obliterans.

(3) Repeatable operation.

4. A group of 46 patients with lower extremity arteriosclerosis obliterans with femoral popliteal artery occlusion, with lesion lengths ranging from 2 to 20 cm, were treated with Kensey catheters. The clinical results showed that the operation success rate was 87%, of which 4 cases had perforations but did not require further surgical treatment. The six-month patency rate for lower extremity arteriosclerosis obliterans was 72%, and the one-year patency rate for lower extremity arteriosclerosis obliterans was 70%. However, there are also reports that this technology for lower extremity arteriosclerosis obliterans has a high initial success rate compared with previous reports on PTA, but the short-term and indefinite efficacy of lower extremity arteriosclerosis obliterans is much lower than that of PTA. Possible reasons include mechanical stimulation of the blood vessel wall caused by drill vibration.

The above content introduces us to the treatment methods of patent ductus arteriosus. I believe everyone has a clear understanding of the treatment methods. We must not be careless about this issue. If the artery is really blocked, it will cause great damage to the limb movements in severe cases. It must be cured as soon as possible.