Waugh J, Madan A, Sacharias N, Thomson K
Department of Radiology, Alfred Hospital, Melbourne, Prahran, Victoria 3181, Australia.
Australas Radiol. 2004 Sep;48(3):311-7. doi: 10.1111/j.0004-8461.2004.01313.x.
The management of major lower gastrointestinal haemorrhage has changed dramatically in the last 15 years. Innovations in coaxial catheter technology have allowed the interventional radiologist to reach the small peripheral mesenteric arteries and perform superselective embolization with a variety of agents. The present large series represents the 5-year experience of this technique at the Alfred Hospital, Melbourne, in a patient cohort with a high number of comorbidities. Technical success was achieved in 96% of cases. The clinical symptoms of mesenteric ischaemia developed in four patients after embolization and were managed conservatively in two. The procedure-related mortality was low when compared with the published complication rates for emergency surgery, in this clinical setting.
在过去15年中，下消化道大出血的治疗发生了巨大变化。同轴导管技术的创新使介入放射科医生能够到达外周小的肠系膜动脉，并用多种药物进行超选择性栓塞。本大型系列研究代表了墨尔本阿尔弗雷德医院在一个患有大量合并症的患者队列中对该技术的5年经验。96%的病例取得了技术成功。4例患者在栓塞后出现肠系膜缺血的临床症状，其中2例采用保守治疗。在这种临床情况下，与已公布的急诊手术并发症发生率相比，该手术相关死亡率较低。
