Russell H. Morgan Department of Radiology and Radiological Sciences, Division of Cardiovascular and Interventional Radiology, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, Maryland 21287, USA.
Korean J Radiol. 2010 May-Jun;11(3):257-68. doi: 10.3348/kjr.2010.11.3.257. Epub 2010 Apr 29.
Therapeutic embolization is defined as the voluntary occlusion of one or several vessels, and this is achieved by inserting material into the lumen to obtain transient or permanent thrombosis in the downstream vascular bed. There are a number of indications for this approach in urological practice, in particular for the patients with parenchymatous or vascular kidney disease. In this review, we present the different embolization techniques and the principally employed occluding agents, and then we present the principal clinical indications and we discuss other pathologies that may benefit from this non-invasive therapy. The complications, side effects and main precautions associated with this approach are also described.
治疗性栓塞是指自愿阻塞一条或多条血管,通过将材料插入管腔来实现下游血管床的短暂或永久性血栓形成。在泌尿科实践中有许多适应症,特别是对于实质或血管性肾病患者。在这篇综述中,我们介绍了不同的栓塞技术和主要使用的闭塞剂,然后介绍了主要的临床适应症,并讨论了可能受益于这种非侵入性治疗的其他疾病。还描述了与该方法相关的并发症、副作用和主要注意事项。