通过导管动脉栓塞 (TAE) 的癌症相关出血
Roberto Minici1, Giuseppe Guzzardi2, Massimo Venturini3,4
1Radiology Unit, Dulbecco University Hospital, 88100 Catanzaro, Italy.
Medicina (Kaunas, Lithuania)
|July 29, 2023
概括
过导管动脉栓塞 (TAE) 是有效的管理瘤出血在癌症患者. 虽然通常是安全的,但TAE使用线圈可能会导致较低的成功率和增加的复出血与其他药物相比.
科学领域:
- 干预性放射学 干预性放射学
- 在瘤学瘤学.
- 血管医学 血管医学
背景情况:
- 出血发生在约10%的癌症患者中,严重程度各不相同.
- 透管动脉栓塞 (TAE) 是癌症主要出血的关键治疗方法.
- 关于瘤出血管理的文献不一致.
研究的目的:
- 评估TAE在固体癌症患者的瘤出血中的有效性和安全性.
- 根据栓塞剂和栓塞技术分析结果.
主要方法:
- 多中心回顾性队列研究.
- 收集了92名患有固体癌症的患者的数据,这些患者接受了针对瘤出血的TAE (2020年1月 - 2023年5月).
- 分析技术成功,临床成功,再出血率和并发症.
主要成果:
- 在89.1%的病例中,技术成功,在84.8%的病例中,临床成功.
- 最常见的出血部位:肝脏 (21.7%);最常见的病原体:聚乙烯醇 (PVA) 颗粒 (30.4%).
- 与其他药物相比,带有线圈的TAE与更高的近道栓塞率,更低的临床成功率和更多的再出血有关.
结论:
- TAE是一种可行的,有效的治疗危及生命的瘤出血.
- 在治疗与癌症相关的出血方面,TAE显示出了显著的安全性.
- 对瘤出血的线圈栓塞可能不如其他药物有效,导致再出血增加.
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