通过导管栓塞治疗来自囊性动脉侵蚀的十二指甲状腺出血
Peng Hu1, Guangwen Chen2, Jingpeng Wei1
1Department of Interventional Radiology, The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nan Ning, China.
CVIR endovascular
|July 19, 2024
概括
囊性动脉栓塞成功治疗了罕见的十二指肠出血病例. 这种微创手术方法为治疗囊性动脉侵蚀导致的上胃肠道出血提供了一种安全的替代手术方法.
科学领域:
- 胃肠病学 胃肠病学
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 囊性动脉中的侵蚀是严重上部胃肠道出血的罕见原因.
- 外科干预一直是这种情况的历史性治疗选择.
- 有限的病例报告存在于十二指肠出血的这种特定病因.
研究的目的:
- 为成功管理由囊性动脉侵蚀引起的十二指肠出血.
- 评估囊性动脉栓塞作为最少侵入性治疗的疗效和安全性.
主要方法:
- 三名老年男性患者的病例系列,患有耐火十二指肠出血.
- 在医疗和内镜治疗失败后,进行过导管动脉栓塞.
- 超选择性血管造影发现了囊性动脉出血,随后使用凝海绵,线圈或N-丁-烯酸盐进行了栓塞.
主要成果:
- 这三名患者在囊性动脉栓塞后都成功实现了血液静止.
- 术后没有观察到任何胆囊梗塞病例.
- 这种微创手术在控制出血方面被证明是有效的.
结论:
- 囊性动脉栓塞是一种安全有效的替代手术,用于由于囊性动脉侵蚀导致的十二指肠出血.
- 这种干预性放射技术为一种罕见但严重的疾病提供了最少的侵入性选择.
- 需要进一步的研究,以在更大的队列中验证这些发现.
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