在淋巴瘤和白血病患者中,用于血液溶解的支气管动脉栓塞
Ruben Geevarghese1, Elena N Petre1, Etay Ziv1
1Interventional Radiology Service, Department of Radiology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, United States.
BJR case reports
|July 30, 2025
概括
支气管动脉栓塞 (BAE) 是对淋巴瘤和白血病患者的血栓塞的安全和可行的治疗方法. 虽然有效,但并发性肺部感染可能会影响结果,因此需要进一步研究.
科学领域:
- 干预性放射学 干预性放射学
- 血液学 瘤学 癌症学
- 肺部病理学 肺部病理学
背景情况:
- 淋巴瘤和白血病患者的血液溶解,由于血液静止障碍和免疫抑制,造成了治疗挑战.
- 支气管动脉栓塞 (BAE) 是一种主要的干预措施,用于新出现的血栓塞管理.
研究的目的:
- 评估支气管动脉栓塞 (BAE) 的安全性和可行性,在患有血液恶性瘤的患者中进行血栓塞.
主要方法:
- 在2010年8月至2022年8月期间,对5名患有淋巴瘤或白血病的患者进行了病例系列分析,这些患者经历了血液溶解.
- 评估BAE后的技术和临床成功率,复发率和30天死亡率.
主要成果:
- 在5名患者中有4名实现了技术成功 (80%) 和临床成功 (80%).
- 两名患者经历了血液栓塞后的血栓塞复发.
- 三名患者 (60%) 在30天内死亡,主要是由于呼吸功能下降.
结论:
- 支气管动脉栓塞 (BAE) 是一种安全且可行的选择,用于在特定的淋巴瘤和白血病患者中管理血栓塞.
- 同时出现的肺部感染显著,可能会影响表现和结果.
- 需要进一步调查,以充分确定BAE在这个患者群体中的作用.
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