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面向重症医学专家的介入放射学介绍。

Introduction to interventional radiology for the criticalist.

作者信息

Weisse Chick

机构信息

Animal Medical Center, New York, NY 10065, USA.

出版信息

J Vet Emerg Crit Care (San Antonio). 2011 Apr;21(2):79-85. doi: 10.1111/j.1476-4431.2011.00630.x.

Abstract

OBJECTIVES

To introduce the basic equipment necessary to perform interventional radiology (IR) techniques in the veterinary setting, particularly those procedures of interest to the criticalist.

DATA SOURCES

Veterinary and human literature as well as author's experience.

HUMAN DATA SYNTHESIS

Since the 1950s, diagnostic angiography has played an important role in human medicine. However, over the last 2-3 decades, this once purely diagnostic modality has become a subspecialty in human medicine with vast applications throughout the body. These techniques have replaced more invasive surgeries as the standard-of-care in many circumstances.

VETERINARY DATA SYNTHESIS

Although comparable data are not available in the veterinary literature, many IR and interventional endoscopy techniques are poised to replace more invasive procedures in veterinary medicine. In addition, these techniques have already been shown to offer treatment options for patients in whom more traditional therapies have failed, have been declined, or are not indicated due to comorbidities or substantial risk to patient health.

CONCLUSIONS

Like our human medical counterparts, the use of IR techniques will likely play and increasingly important role in the care of veterinary patients. With this in mind, it is important to become familiar with both the equipment used in these techniques as well as their applications both currently in clinical cases and in the near future.

摘要

目的

介绍在兽医环境中进行介入放射学(IR)技术所需的基本设备,特别是危重病专家感兴趣的那些程序。

数据来源

兽医和人类医学文献以及作者的经验。

人类医学数据综合

自20世纪50年代以来,诊断性血管造影在人类医学中发挥了重要作用。然而,在过去的20 - 30年里,这种曾经纯粹的诊断方式已成为人类医学中的一个亚专业,在全身有着广泛应用。在许多情况下,这些技术已取代了更具侵入性的手术,成为标准治疗方法。

兽医学数据综合

尽管兽医文献中没有可比数据,但许多介入放射学和介入性内窥镜技术有望在兽医学中取代更具侵入性的程序。此外,这些技术已被证明能为那些传统疗法失败、被拒绝或因合并症或对患者健康有重大风险而不适用的患者提供治疗选择。

结论

与人类医学同行一样,介入放射学技术的使用可能会在兽医患者的护理中发挥越来越重要的作用。有鉴于此,熟悉这些技术中使用的设备以及它们目前在临床病例和不久的将来的应用非常重要。

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