在肝静脉剥夺期间,栓塞物质向心脏的迁移
Marco Nicolazzi1,2, Marcello Di Martino1,2, Marco Spinetta3
1Department of Health Sciences, University of Piemonte Orientale, Novara, Italy.
BMJ case reports
|December 26, 2025
概括
结直肠癌的肝静脉剥夺 (LVD) 的罕见并发症涉及栓塞迁移到右心房. 干预放射学小组成功地取回了粘合剂,防止了严重的伤害.
科学领域:
- 干预性放射学 干预性放射学
- 肝胆道手术 肝胆道手术
- 在瘤学瘤学.
背景情况:
- 有肝转移的结肠直肠癌 (CRC) 通常需要复杂的手术管理.
- 第四阶段RAS突变的CRC与双巴肝参与需要多阶段的治疗方法.
- 肝静脉剥夺 (LVD) 是一种用于改善肝切除结果的技术.
研究的目的:
- 在肝静脉剥夺 (LVD) 过程中报告罕见的并发症.
- 为了突出成功管理过程内血栓塞的成功管理.
- 在干预性放射学中强调及时识别和干预.
主要方法:
- 一名患有RAS突变的第四期结直肠癌和双巴肝转移的患者的病例报告.
- 一个两阶段肝切除术计划的描述,包括右半球切除术和LVD.
- 关于LVD程序的详细信息以及涉及栓塞迁移的并发症.
主要成果:
- 栓塞从LVD期间的计划部位迁移到患者的右前庭.
- 干预放射学小组成功识别并检索了迁移的.
- 由于及时有效地管理并发症,因此可以预防不良后果.
结论:
- 肝静脉剥夺 (LVD) 带有罕见但严重的并发症的风险,例如血管内粘合物迁移.
- 干预性放射学的迅速识别和熟练干预对于管理这种不良事件至关重要.
- 成功检索迁移的栓塞物质可以防止在复杂的瘤手术中对患者造成重大伤害.
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