Álvarez J Alejandro, Cleveland P Carol, Green M Karina, Sanhueza H Eugenio, Silva V Junia
Rev Chil Pediatr. 2014 Apr;85(2):197-202. doi: 10.4067/S0370-41062014000200009.
Pulmonary sequestration (PS) has been treated for many years with conventional surgical removal of the ectopic lung tissue and ligation of aberrant vessels that arise from the aorta. There is evidence, especially in English-language literature that supports the use of transcatheter arterial embolization through a device for occlusion of the anomalous vessel, as a safe option and definitive treatment for intralobar PS.
To show our experience pioneering the technique of PS treatment through transcatheter embolization.
The case reports of two teenagers aged 13 and 14 and a 26-day-old newborn that developed intralobar PS are described. The diagnosis was made through computerized axial tomography (CT scan) and successfully and without complication, during early and long term follow-up, treated by arterial embolization transcatheter.
The use of transcatheter arterial embolization is a less invasive and definitive treatment for patients with PS.
多年来,肺隔离症(PS)一直通过传统手术切除异位肺组织并结扎源自主动脉的异常血管进行治疗。有证据表明,特别是在英文文献中,支持使用通过用于闭塞异常血管的装置进行经导管动脉栓塞术,作为叶内型PS的一种安全选择和确定性治疗方法。
展示我们在通过经导管栓塞术治疗PS技术方面的开拓性经验。
描述了两名分别为13岁和14岁的青少年以及一名26天大的新生儿发生叶内型PS的病例报告。通过计算机断层扫描(CT扫描)做出诊断,并在早期和长期随访期间通过经导管动脉栓塞术成功治疗且无并发症。
经导管动脉栓塞术的应用对PS患者而言是一种侵入性较小的确定性治疗方法。