ロンドン脱⽑ therapy consists of performing endoluminal vascular procedures and maneuvers through catheters that are introduced into the vascular lumen (space between the vessel walls). It is used to recanalize stenosed (obstructed) or obliterated vessels, distant from the point of entry, and also for the resolution of aneurysms in any location (mainly aortic).

Most of these methods are performed using percutaneous access, but there are situations in which the point-of-entry surgical approach is mandatory or preferable (obese patients, combined surgery, need to insert large-caliber devices).

What techniques does it include?

In recent years, there has been an explosive and revolutionary development of endovascular technology with the invention and refinement of many endoluminal delivery devices.

This great development has not only taken place in the therapeutic field but also in diagnosis with the appearance of angioscopy and endoluminal ultrasound.

The current procedures or techniques to perform endovascular treatments are basically:

- Percutaneous transluminal balloon angioplasty (PTA)
- Endoprosthesis
- Stents
- Thrombolysis

What advantages does it have compared to traditional techniques?

ロンドン脱⽑ surgery achieves the resolution of many cases of vascular disease (stenosis, occlusions, aneurysms, fistulas, etc.) with a simple percutaneous approach. Through the introduction of guides and catheters through a vessel, usually the femoral artery, which serves to transport dilation balloons, endoprostheses, etc.

The patient benefits from the advantages of local anesthesia, a less aggressive technique, and a shorter and more comfortable postoperative period; On many occasions, they can be performed in a day hospital or with a 24-hour admission.

When is it indicated?

Many of these endovascular methods have become the treatment of choice for certain pathologies, especially those that affect the aortic, iliac, visceral, or renal arterial sector. Sometimes, they can be used in patients with high surgical risk in whom conventional surgery is more dangerous; Current examples of this situation would be endoprostheses for the treatment of aortic aneurysms and stents for the treatment of stenosis.

In the last decade, medical professionals have witnessed inevitable technological progress applied to diagnostic imaging methods and to therapeutic processes themselves.

Vascular diseases have not escaped this unstoppable trend. Perhaps it is diseases of the thoracic aorta that could most clearly benefit from these new approaches since the margin of benefit in reducing morbidity and mortality is broader.

But what is the truth in all this? We believe that it would be wise to inform the reader of the current situation before giving in to unrestrained and sometimes irrational enthusiasm.

For this reason, we appreciate the opportunity to inform you in the following lines of the current knowledge of endovascular treatment of thoracic aortic lesions.

For more information, get in touch with us at ai-beauty-jp.co.uk.