用血管治疗治疗急性下胃肠道出血的实证栓塞:初步报告
Huei-Lung Liang1,2,3, Chia-Ling Chiang4,5, Ming-Feng Li4,5
1Department of Radiology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan. hlliang@vghks.gov.tw.
Scientific reports
|October 29, 2024
概括
经验性血管治疗有效地治疗下胃肠道出血,当初始血管造影是负面的. 这种药物诱导的血管技术,有或没有MDCT,显示出高的成功率和安全性,对于患有不清楚出血源的患者.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
- 血管医学 血管医学
背景情况:
- 下胃肠道出血 (LGIB) 的诊断和治疗可能具有挑战性,特别是当初始血管造影呈阴性结果时.
- 确定不明的LGIB的来源对于有效的管理和预防再出血至关重要.
研究的目的:
- 评估经验性栓塞的初步结果,使用药物诱导的LGIB血管与阴性血管学但阳性MDCT发现.
- 评估该技术的安全性和有效性,有或没有动脉内多探测器计算机断层扫描 (MDCT).
主要方法:
- 23名阳性MDCT和阴性血管造影的LGIB患者接受了经验药物诱导的血管治疗.
- 血液动脉被导管,诱导临时血管与上腺素和压素输液.
- 记录了复出率,初级和整体临床成功率以及并发症.
主要成果:
- 多探测器计算机断层扫描 (MDCT) 在SMA (19) 和IMA (4) 地区发现出血.
- 早期再出血发生在26.1%的患者 (2局部,3新焦点,1不确定).
- 总体临床成功率为91.3%,没有重大手术相关并发症.
结论:
- 经验药物诱导的血管,局部与或没有动脉内MDCT,似乎安全和有效的血管学阴性LGIB.
- 这种方法为患有不明白的下胃肠道出血的患者提供了可行的治疗选择.
- 进一步的研究可能会完善患者选择和优化治疗方案.
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