用微球和微线圈组合治疗病的直肠动脉栓塞:试点研究
Daniel Simões de Oliveira1, José Américo Bacchi Hora2, André Moreira de Assis3
1Interventional Radiology Department, Radiology Institute, University of Sao Paulo Medical School, São Paulo, Brazil. danieloliveira8@live.com.
Cardiovascular and interventional radiology
|December 26, 2024
概括
上部和中部直肠动脉栓塞是对的可行的治疗方法,显著改善生活质量. 需要进一步的研究才能充分了解这种干预性放射学程序的安全性.
科学领域:
- 干预性放射学 干预性放射学
- 血管外科 血管外科
- 胃肠病学 胃肠病学
背景情况:
- 病显著影响生活质量.
- 目前治疗严重的方法有局限性.
- 目前正在探索最少侵入性的治疗方案.
研究的目的:
- 评估在症状出血疾病的患者中对上直肠动脉 (SRA) 和中直肠动脉 (MRA) 进行栓塞的可行性和初始结果.
- 评估技术和临床成功率.
- 记录与程序相关的不良事件.
主要方法:
- 对10名患有戈利赫分类II或III的患者进行前性单中心队列研究.
- 使用微球和金属线圈进行SRA和MRA栓塞.
- 12个月的随访,评估的严重程度得分 (HSS) 和生活质量 (QoL) 得分.
主要成果:
- 在100%的患者中取得了技术上的成功;SRA在100%的患者中发生了栓塞,MRA在80%的患者中发生了栓塞.
- 在HSS (88%) 和QoL (88%) 评分显著改善 (p <0.05) 在12个月内没有复发.
- 一个主要的并发症 (直肠缺血和穿孔) 发生,需要手术干预.
结论:
- SRA和MRA的栓塞是症状性出血疾病的可行治疗方法.
- 该程序在患者报告的结果中显示出显著的改善.
- 由于观察到的主要并发症,需要对安全性和最佳技术进行进一步的调查.
相关概念视频
Drugs for Treatment of Diarrhea-Predominant IBS
147
Diarrhea-predominant irritable bowel syndrome (IBS-D) is a subtype of IBS characterized primarily by frequent, loose, or watery stools, abdominal pain, and abdominal discomfort. Therapeutic approaches to managing IBS-D include dietary changes, stress management techniques, and pharmaceutical interventions.
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
Two specific drugs used in the treatment are alosetron (Lotronex) and eluxadoline (Viberzi). Alosetron, a 5-HT3 antagonist, works by slowing the movement of stools in the gut, reducing bowel...
147
Inflammatory Bowel Disease V: Surgical Management
116
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
116
Drugs for Treatment of Constipation-Predominant IBS
133
Pharmacological therapies for IBS-C are designed to alleviate abdominal discomfort and enhance bowel function. In patients with IBS-C, fiber supplements may help soften stools and decrease straining, but may also lead to increased gas production and bloating. Osmotic laxatives like milk of magnesia are frequently used to soften stools and increase stool frequency in IBS-C patients. In addition, two drugs approved for use in severe IBS-C adult cases are linaclotide (Linzess) and lubiprostone...
133
Esophageal Varices-II: Clinical Features and Management
46
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
46
Drugs for Treatment of Ulcerative Colitis in IBD
119
Ulcerative colitis is a chronic inflammatory condition primarily affecting the colon and rectum. The primary drugs used in the treatment of ulcerative colitis are aminosalicylates. They exhibit anti-inflammatory and immunosuppressive properties. They modulate inflammatory mediators and inhibit the activity of nuclear factor κB (NF-κB). Aminosalicylates also reduce inflammation by inhibiting prostaglandin and leukotriene production and decreasing neutrophil chemotaxis and superoxide...
119
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
147
Prostacyclin receptor agonists are a class of therapeutic agents integral to managing pulmonary arterial hypertension (PAH). These drugs operate by mimicking the action of prostaglandin I2, or PGI2, a naturally occurring compound in the body.
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...
147


