What is the best way to treat patent ductus arteriosus?

What is the best way to treat patent ductus arteriosus? The incidence of patent ductus arteriosus is getting higher and higher nowadays. Its occurrence brings great harm to the human body and may cause many diseases such as arterial blockage, so treatment is imminent. However, many people do not know much about the treatment of patent ductus arteriosus. Let us learn about the best way to treat patent ductus arteriosus.

1. Non-surgical treatments include controlling diet, exercising appropriately, avoiding smoking and keeping warm, using lipid-lowering drugs, vasodilators and 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 used: (1) Arterial bypass surgery. Arterial bypass surgery uses artificial blood vessels or autologous veins to perform 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.

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 of lower limbs can be removed without damaging the vascular wall while removing the calcified plaque. This type of surgery has several advantages:

(1) High success rate of interventional procedures for lower extremity arteriosclerosis obliterans

(2) Treatment Indications: Wide-limb arteriosclerosis obliterans

(3) Repeatable operation.

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 lower extremity arteriosclerosis obliterans perforation 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 best method to treat patent ductus arteriosus. I believe everyone has a clear understanding of the treatment method. We must not be careless about this issue. If the artery is really blocked, it will cause great harm to the limb movements in severe cases. It must be cured as soon as possible.