对视网母细胞瘤进行动脉内化疗的导管复杂化
Craig Schreiber1,2, Gary Kocharian3,2, Natasha Kharas3
1Department of Neurological Surgery, Weill Cornell Medicine, New York, New York, USA cpq9005@med.cornell.edu.
Journal of neurointerventional surgery
|February 26, 2025
概括
对视网膜母细胞瘤 (Rb) 的动脉内化疗 (IAC) 在儿童中是安全的. 导管治疗的并发症率较低,特别是在使用较小的导管系统时,支持IAC作为可行的治疗选择.
科学领域:
- 眼科医生 眼科 眼科
- 儿科瘤学 儿科瘤学
- 干预性放射学 干预性放射学
背景情况:
- 动脉内化疗 (IAC) 是对视网膜母细胞瘤 (Rb) 的新兴治疗方法.
- 有限的数据存在于儿童患者IAC导管的安全性.
- 这项研究针对儿科Rb患者的非眼科,导管相关并发症.
研究的目的:
- 评估儿童视网膜母细胞瘤患者IAC导管治疗的安全性.
- 识别和分析非眼部,导管/手术相关的并发症.
- 为执行IAC的其他实践提供基础,并帮助预防并发症.
主要方法:
- 从2006年5月到2024年5月接受IAC治疗的儿科Rb患者的回顾性审查.
- 对非眼导管相关并发症的所有手术进行分析,包括入口,远部血管问题和心脏病发作.
- 对623名患者2281次血管接入事件和2681次远端导管术程序的综述.
主要成果:
- 总共发生了31种与 катетеризация相关的并发症 (总体为1.1%).
- 进入大腿动脉的并发症:7 (0.3%).
- 远端血管损伤:24 (0.9%),包括2次无症状脑梗塞 (0.07%).
结论:
- 在儿科视网膜母细胞瘤患者群体中,用于IAC的导管治疗是安全的.
- 一个趋势表明,较小的导管系统会导致更少的并发症.
- IAC是幼儿视网膜母细胞瘤的安全和可行的治疗方法.
更多相关视频
相关概念视频
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
85
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
85
01:13Radiological Investigation III: Pulmonary Angiogram and PET Scan
79
Radiological investigations are paramount in the diagnosis and management of various pulmonary diseases. Two essential investigations are the Pulmonary Angiogram and the Positron Emission Tomography (PET) Scan.
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
Pulmonary Angiogram
A Pulmonary Angiogram is an invasive procedure involving injecting a contrast medium through a catheter threaded into the pulmonary artery or the right side of the heart to visualize the pulmonary vasculature. Computed Tomography (CT) scans have mainly replaced this...
79