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血管与血管内中心

血管与血管内中心

The Vascular and Endovascular Centre at CVSKL is a one stop centre for screening, diagnosis, surveillance and treatment for all vascular diseases.

什么是血管疾病?

The vascular system or the circulatory system is made up of vessels that carry blood and lymph through the body.  Blood vessels are tubes and there are 3 types of blood vessels:

  • The arteries carry blood from the heart to the whole body, delivering oxygen and nutrients to the body tissues.

  • The veins carry the deoxygenated blood back to the heart taking with them the tissue waste matter.

  • The lymph vessels carry lymphatic fluid.

Vascular diseases are conditions that affect the arteries, veins or lymphatics.

Depending on the disease and which arteries or veins are affected, the resulting consequence will be different:

Peripheral arterial disease (PAD)
  • In conditions where the lumen of the arteries are narrowed or completely blocked, the blood flow to the affected organs or other body structures, eg the legs, may be compromised.

  • If it is the vessels to the heart (coronary arteries) the patient will have a ‘Heart attack’ and if it is blood vessels to the brain, a stroke will result.  If it is blood vessels to the legs, the patient can experience pain, ulceration and gangrene of the leg (critical limb ischemia).

  • If the arterial wall is weakened, it will result in bulging (aneurysm) and eventually rupture of the artery resulting in blood loss.

Abdominal aortic aneurysm (AAA)
  • In the veins, blockages in the blood flow results in thrombosis (deep vein thrombosis) and damages in the valves (within the veins) will lead to dilated veins (varicose veins).

血管疾病有很多种类,其中比较常见的疾病包括以下几种:


Common Vascular Diseases:

  • 腹主动脉瘤

  • 周围动脉疾病

  • 颈动脉疾病

  • 颈动脉瘤

  • 静脉曲张

  • 深静脉血栓形成

  • 动静脉瘘

  • 多汗症

我们的服务

动脉

主动脉瘤
腔内主动脉瘤修复手术
    - Endovascular Aneurysm Repair for AAA (EVAR)
    - Thoracic Endovascular Aneurysm Repair (TEVAR)
    - Fenestrated & Branched Stent Grafts for:
      ~ Thoracoabdominal Aneurysm
      ~ Aortic Arch Aneurysm
开放式修复术

主动脉夹层
血管内修复术
开放式修复术

周边血管疾病
血管成形术/支架置入术
旁路搭桥术
复合手术

急性肢体缺血
血栓切除术
溶栓治疗

颈动脉

动脉内膜切除术
颈动脉血管成形术/支架置入术
颈动脉瘤体切除术

肾动脉和内脏动脉
血管成形术/支架置入术
开放式手术

静脉

静脉曲张
Thermal ablation:
    - Radiofrequency
    - Endovenous Laser
粘合剂疗法
开放式手术
硬化剂注射治疗

深静脉血栓形成
抗凝治疗
溶栓治疗
静脉造影及支架置入术

急诊

CVSKL的血管外科所接受的急诊病症包括:
主动脉瘤破裂
急性主动脉夹层
急性肢体缺血
血管创伤
其他

其他

血液透析的血管通路
自体血管动静脉瘘
人造血管动静脉瘘
动静脉瘘失败后的血管成形术
多次血管通路失败后的方案

动静脉畸形
切除术
栓塞术
硬化剂注射治疗

中央静脉阻塞的治疗 - 血管成形术及支架置入术

多汗症的治疗 - 胸腔镜交感神经切除术
.

我们的团队

血管及血管内中心的团队包括以下成员:

  • 2位血管外科专科医生
  • 2位血管外科技师/超声波技师
  • 2位放射科技师
  • 6位血管外科复合手术室护士

The team works closely with our Anaesthesiologists, Cardiothoracic surgeons, Cardiologists and Nephrologists

Vascular & Endovascular Team

我们的设备

无创血管检查室

Situated at the Outpatient Department next to our doctors’ clinics, the Vascular Lab specializes in several tests that look at the condition of arteries and veins and how well blood flows in these vessels. The tests are performed by 2 qualified ultrasonographers who work closely with our doctors.

Tests are done to examine the blood vessels throughout the body.  These tests help to diagnose and plan the treatment of  many vascular disease, including peripheral arterial disease (PAD), carotid artery disease, aneurysms, varicose veins, deep vein thrombosis (DVT) and vascular access (AV fistula).  These tests are also used for surveillance and post-operative follow-up to monitor the success of surgery or endovascular procedures.

Non-Invasive Vascular Laboratory
超声检查

无创操作

上下肢血压比

上下肢血压比

  • 上下肢血压比是一项同时测量四肢血压以评估四肢分别的血液流动情况的检查

  • The difference between the blood pressure from the ankle and the arm form the ABI ratio.  The ABI ratio tells the doctors how the circulation in your legs is performing.

多普勒超音波

多普勒超声可以评估动脉和静脉的血流情况。包括以下几种:

  • Carotid ultrasound – ultrasound of the carotid arteries in the neck to identify or rule out blockages that can lead to a stroke

 
  • Abdominal ultrasound – ultrasound of the abdominal aorta to identify and evaluate aneurysmal disease or blockages of the aorta and its branches.

 
  • Lower limb ultrasound – ultrasound of the arteries to the legs to evaluate blockages that may be contributing to pain in the legs, ulceration or gangrene.

 

大部分的检查都会在无创血管检查室完成,但随着术前的手术规划、术中和术后的评估需求,我们在复合手术室中也增加了多普勒超声的使用。

Carotid Ultrasound
Abdominal Ultrasound Image
多普勒超音波
Carotid Ultrasound Image
Lower Limb Ultrasound Image
CT angiogram image
CT angiogram image

电脑断层血管造影(CT 血管造影)

Done in our Radiology Department, a CT scan is a type of X-ray that uses a computer to make cross-sectional images of your body.  CT angiography combines a CT scan with an injection of a special dye to produce pictures of blood vessels and tissues in a part of the body. The dye injected to perform CT angiography is called a contrast material because it “lights up” blood vessels and tissues that are being studied.  These images are reconstructed to give 3D images of the arteries that are studied.  These images will help the surgeons to plan the best treatment for the patient’s condition.

CT angiography is frequently used to assess the aorta (chest and abdomen) and its branches for aneurysms and occlusions.   It may also be used to assess the carotid arteries and the arteries to the lower limbs.

Revolution Apex™ CT 扫描仪

复合手术室 

复合手术室是一种将传统手术室与放射介入结合的手术室。这种合并的手术室使得我们可以进行复杂的开放式手术或者难度较高的介入手术,甚至可以同时进行开放式手术和介入手术(称:复合手术)。复合手术室提供了医生一个更好的平台予以病人最佳的治疗和更好的预后。

Like a traditional Operating Theatre, our Hybrid OT is an aseptic room, equipped with a surgical table, operating lights and anaesthetic machine. In addition, there is a state of art imaging system. Our imaging system is highly mobile. Using laser-guided technology, it is parked at a corner of the room when not in use.  When it is needed, it will move to the required position beside the operating table to obtain the best imaging.

This state-of-art system is equipped with advanced imaging tools such as Fusion imaging and Rotational angiography.

  • Fusion imaging is a novel technique that allows for integration of highly detailed computed tomographic (CT) images with fluoroscopy.

  • Images from a previous CT scan are loaded and processed in a workstation to produce a 3D model of the vasculature which is then merged with the live fluoroscopic images.

  • Unlike conventional angiography which gives us 2D images, Rotational angiography gives us CT-like 3D images. The C-Arm rotates around the patient and acquires a series of x-ray images.  These images are then reconstructed through software algorithms into 3D images.

Hybrid OT

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