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维护双边动脉导管以实现延迟终点栓塞在子宫动脉栓塞和前列腺动脉栓塞:一个技术视角
Anadi Gupta1,2, Sabharisundaravel Paulraj1, Rohit Khandelwal1
1Department of Interventional & Endovascular Radiology, R.N. Tagore Hospital, Narayana Health, Kolkata, India.
Interventional radiology (Higashimatsuyama-shi (Japan)
|March 3, 2026
概括
一种使用双侧大腿骨通道的新栓塞技术允许延迟重新评估和额外的栓塞. 这种"栓塞-等待-重新评估-补充"方法可以改善子宫和前列腺动脉栓塞的结果,而不会增加手术时间.
科学领域:
- 干预性放射学 干预性放射学
- 血管外科 血管外科
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
背景情况:
- 由于粒子再分配,血管栓塞后可以恢复动脉流动.
- 传统的栓塞终点可能不是最终的.
- 延迟评估可以确定需要额外的栓塞.
研究的目的:
- 描述一种用于子宫和前列腺动脉栓塞的新型栓塞技术.
- 评估延迟终点评估和补充栓塞的可行性.
- 评估该技术对程序效率和结果的影响.
主要方法:
- 140例子宫动脉和50例前列腺动脉栓塞手术使用双边通往股骨动脉的方法进行.
- 一个"交换侧面"的策略允许同时导管和交替栓塞.
- 根据需要,进行了延迟重新评估和补充栓塞.
主要成果:
- 延迟的血管造影重新评估显示,在所有病例中都恢复了输液,从而使额外的栓塞成为可能.
- 子宫动脉栓塞实现了97%的纤维肌梗塞率和96%的症状改善.
- 前列腺动脉栓塞导致IPSS减少11个点,改善生活质量.
结论:
- 双边股骨接入可实现"栓塞-等待-重新评估-补充"的工作流程用于盆腔栓塞.
- 这种技术是有效的,没有显著延长手术时间或增加对比度.
- 在盆腔栓塞手术中,应重新考虑双股骨接入.
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