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[使用新型同轴导管和可操纵导丝成功进行急诊超选择性肝动脉栓塞治疗胆道出血]

[Successful emergency superselective embolization for hemobilia with a new coaxial catheter and steerable guidewire].

作者信息

Kimura T, Okazaki M, Higashihara H, Ono H, Yamasaki S, Maeshiro K, Miyazaki R

机构信息

Department of Diagnostic Radiology, Fukuoka University, School of Medicine.

出版信息

Rinsho Hoshasen. 1990 Sep;35(9):1089-92.

PMID:2232287
Abstract

Hemobilia occurred in a 70 year old female from the left hepatic artery pseudoaneurysm induced by PTBD. A Tracker-18 catheter introduced into the left lateral posterior hepatic artery superselectively and embolization was performed with both sponge gel and Ivalon. This new coaxial catheter system allowed selective occlusion of the hepatic artery pseudoaneurysms with minimal loss of liver function.

摘要

一名70岁女性因经皮肝穿胆管引流术(PTBD)诱发左肝动脉假性动脉瘤而出现胆道出血。将Tracker-18导管超选择性插入左肝后外侧动脉,并使用海绵凝胶和聚乙烯醇泡沫(Ivalon)进行栓塞。这种新型同轴导管系统能够以最小的肝功能损失选择性地闭塞肝动脉假性动脉瘤。

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