一个棘手的情况:在肝静脉栓塞过程中粘合剂迁移
Koustav Pal1, Joshua D Kuban1, Ravi Murthy1
1Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Seminars in interventional radiology
|July 24, 2023
概括
肝静脉栓塞与门静脉栓塞相结合,可以在重大肝脏手术前增强未来的肝脏残留高. 一份案例报告详细介绍了在此过程中管理意外的接造迁移的方法.
科学领域:
- 干预性放射学 干预性放射学
- 肝胆道手术 肝胆道手术
- 血管栓塞是因为血管栓塞.
背景情况:
- 大型肝切除术需要足够的未来肝脏残留量 (FLR).
- 通过肝静脉栓塞 (HVE) 与门静脉栓塞 (PVE) 进行肝侧静脉剥夺,旨在最大限度地提高FLR缩.
- HVE是一种新兴的技术,具有潜在的并发症.
研究的目的:
- 为了呈现一个由接造迁移复杂的HVE病例.
- 描述下腔静脉 (IVC) 中接栓塞的内血管管理.
- 讨论HVE在肝脏手术准备中的作用和风险.
主要方法:
- 该研究描述了一例涉及HVE与PVE结合在重大肝切除术之前的病例.
- 一个用于肝静脉封闭的接件迁移到IVC.
- 对错位的接件进行了血管内检索.
主要成果:
- 这一案例突显出一种罕见的HVE并发症:栓塞性物质的意外迁移.
- 从IVC中成功地从内血管中提取接造物.
- 展示了这种特定并发症的管理策略.
结论:
- HVE是一种可以增强FLR缩的技术,但具有风险.
- 诸如栓塞性物质迁移等并发症需要迅速有效的内血管管理.
- 在重大肝切除术的背景下,需要进一步了解HVE的作用和安全性.
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