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在转移性脊髓瘤的治疗中完善nBCA栓塞技术:病例系列和技术报告

Laura Stone McGuire¹, Elsa Nico¹, Jessica Hossa¹

¹Department of Neurosurgery, University of Illinois at Chicago, Chicago, IL, USA.

Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences

|March 12, 2024

概括

精制的n-丁烯酸 (nBCA) 栓塞技术用于转移性脊髓瘤 (MSTs),使用远端插头可以改善瘤透率并减少手术内失血 (IBL). 这种方法提高了MST治疗的安全性和有效性.

科学领域:

干预性放射学干预性放射学
在瘤学瘤学.
神经外科神经外科

背景情况:

转移性脊髓瘤 (MSTs) 的手术前栓塞旨在减少手术内输血 (IBL).
N-丁烯酸 (nBCA) 是一种有效的栓塞剂,但具有非目标栓塞的风险.
需要一种精细的技术来优化MSTs的nBCA栓塞.

研究的目的:

为MSTs强调一种精致的nBCA栓塞技术.
为了评估远端细分动脉塞的有效性,用缩的nBCA,然后用近端稀释的nBCA.
评估对IBL和瘤透的影响.

主要方法:

对接受nBCA栓塞治疗的MST患者的回顾性审查 (2018-2023年).
包括在瘤切除和脊柱仪器仪表之前进行手术前nBCA栓塞的患者.
基线脊柱血管造影和栓塞细节的分析.

主要成果:

16名患者符合纳入标准;常见的原发性瘤是细胞癌.
在栓塞的脚中,实现了瘤红色的完全/几乎完全消灭.
在16.3%的脚中使用了远程缩的nBCA插头技术,显示了降低IBL (1150毫升 vs. 1625毫升) 的趋势.
没有报告出与栓塞相关的并发症.

结论:

在MSTs的手术前栓塞过程中,一个偏远的,缩的nBCA插头可能会增强瘤透.
这种精细的技术显示出在MST切除过程中减少手术内流血的潜力.
栓塞技术在这个患者队列中是安全和有效的.

关键词:

这是NBCA粘合剂.血栓塞栓是什么意思血栓塞栓是什么意思在手术内流失的血液.脊柱瘤是一种瘤.

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