在接受Rivaroxaban治疗的患者中,自发扩散的亚囊肝出血的成功栓塞
Darragh K Waters1, Jack Alderson2, Douglas Mulholland2
1Department of Radiology, Beaumont Hospital, Dublin 9, Ireland. darraghwaters@rcsi.ie.
CVIR endovascular
|December 13, 2025
概括
在接受里瓦洛克萨班治疗的患者中,自发性肝脏出血成功地用跨动脉栓塞治疗. 这种最少的侵入性方法实现了静血,保持了肝功能,避免了严重的损伤.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 干预性放射学 干预性放射学
- 血管外科 血管外科
背景情况:
- 自发性肝出血是一种罕见的,危及生命的疾病.
- 抗凝固药物治疗,如里瓦洛克萨班,可以增加出血风险.
- 肝脏亚囊性血液瘤带有囊破裂和伪动脉瘤存在诊断和治疗方面的挑战.
研究的目的:
- 在接受里瓦洛克萨班治疗的患者中报告一种自发性肝出血病例.
- 描述肝脏血瘤与伪动脉瘤形成的成功管理.
- 突出跨动脉栓塞在实现血液静止与最小的肝脏梗塞的有效性.
主要方法:
- 一个78岁的妇女患有血液动力学休克的案例介绍.
- 诊断成像包括血管造影,以确定出血血管.
- 使用Gelfoam作为临时栓塞剂进行跨动脉栓塞.
主要成果:
- 通过跨动脉栓塞实现了成功的血液静止.
- 在手术后没有发生显著的肝脏梗塞.
- 在随访期间,该患者表现出稳定的血液动力学和正常化的肝功能测试.
结论:
- 早期诊断和多学科干预对于管理自发性肝出血至关重要.
- 像Gelfoam这样的临时栓塞剂在扩散微血管干扰的情况下对静血有效.
- 跨动脉栓塞提供了一种安全有效的治疗选择,具有长期肝损伤的低风险.
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