Alfidja Agaicha, Chabrot Pascal, Cassagnes Lucie, Dumousset Eric, Ravel Anne, Garcier Jean-Marc, Boyer Louis
Service de radiologie B, hôpital Gabriel-Montpied, BP 69, 63003 Clermont-Ferrand, Inserm Erim EA 3295 ERI 14, F, CHU, 63000 Clermont-Ferrand.
Bull Cancer. 2007 Feb;94(2):147-59.
Indications for interventional radiology have increased, and various arterial and venous procedures are nowadays possible in oncology. Besides emergency procedures, scheduled palliative or curative procedures require multidisciplinary cooperation emphasizing on cautions related to iodine contrast media and concerning immunosuppresion, hemostasis disorders, analgesia, and the choice of the adequate approach. Diagnostic endovascular biopsies and venous sampling may be performed. Embolisation procedures are useful for achieving hemostasis, tumor devascularisation, or chemo-embolisation. Revascularisation procedures concern central vein obstructions, catheter occlusion or arterial stenoses and occlusions. Vena cava filtering, retrieval of intravascular foreign bodies and percutaneous implantation of ports can also be indicated, as well other treatments of central venous access complications. The principles, technical aspects, results, and indications of these various endovascular procedures are described in this review.
介入放射学的适应证有所增加，如今肿瘤学领域可以进行各种动脉和静脉手术。除了急诊手术外，预定的姑息性或根治性手术需要多学科合作，重点关注与碘造影剂相关的注意事项以及免疫抑制、止血障碍、镇痛和合适手术方法的选择。可以进行诊断性血管内活检和静脉采样。栓塞手术对于实现止血、肿瘤去血管化或化疗栓塞很有用。血管重建手术涉及中心静脉阻塞、导管闭塞或动脉狭窄和闭塞。也可进行腔静脉滤器置入、血管内异物取出和经皮植入端口，以及中心静脉通路并发症的其他治疗。本文综述了这些各种血管内手术的原则、技术方面、结果和适应证。
