Lookstein Robert A, Guller Jeffrey
Department of Radiology, Division of Vascular Interventional Radiology, Box 1234, Mount Sinai School of Medicine, One East 100th Street, New York, NY 10029, USA.
Mt Sinai J Med. 2004 Jan;71(1):17-28.
Embolization, first described nearly a century ago, has recently emerged as a durable first-line treatment of many vascular conditions particularly in the field of endovascular surgery. As technological advancements allow easier and safer access to small and remote lesions, embolization is being utilized more frequently to treat difficult lesions. This technology has been used most extensively in the treatment of abnormal arteriovenous communications, where it has emerged as a first-line therapy. Recently, the application of these techniques to treat visceral artery aneurysms has been explored, with encouraging results. The endovascular therapy of aortic aneurysms has revealed numerous other applications for embolization therapy, including the treatment of iliac artery aneurysms and of failed aneurysm exclusion or endoleak. Embolization offers a minimally invasive treatment for lesions which have traditionally been considered inoperable, as well as those requiring extensive surgical resections and/or reconstructions that are associated with high morbidity.
栓塞术在近一个世纪前首次被描述，最近已成为许多血管疾病的一种持久的一线治疗方法，尤其是在血管内手术领域。随着技术的进步，能够更轻松、安全地到达小的和偏远的病变部位，栓塞术正越来越频繁地用于治疗疑难病变。这项技术在治疗异常动静脉交通方面应用最为广泛，已成为一线治疗方法。最近，人们探索了将这些技术应用于治疗内脏动脉瘤，结果令人鼓舞。主动脉瘤的血管内治疗揭示了栓塞治疗的许多其他应用，包括治疗髂动脉瘤以及动脉瘤排除失败或内漏。栓塞术为传统上被认为无法手术的病变以及那些需要广泛手术切除和/或重建且发病率高的病变提供了一种微创治疗方法。
