节点内淋巴管造影术后乙碘油的脑栓塞
Cerebral Embolization of Ethiodized Oil following Intranodal Lymphangiography.
作者信息
Sheybani Arman, Gaba Ron C, Minocha Jeet
机构信息
Division of Interventional Radiology, Department of Radiology, University of Illinois Hospital and Health Sciences System, Chicago, Illinois.
出版信息
Semin Intervent Radiol. 2015 Mar;32(1):10-3. doi: 10.1055/s-0034-1396957.
Abstract
Intranodal lymphangiography (IL) has supplanted pedal lymphangiography (PL) as an easier and more practical approach to opacifying lymphatic vessels for interventional radiologists treating refractory chyle leaks. As more interventional radiologists-many of who are not trained in or have not performed PL-incorporate IL into their practice, it is imperative that they be familiar with the risks of lymphangiography, including pulmonary and systemic embolization of oily contrast material. Herein, the authors report a devastating case of cerebral embolization of ethiodized oil following IL and review the literature regarding systemic embolization following lymphangiography.
摘要
对于治疗难治性乳糜漏的介入放射科医生而言，淋巴结内淋巴管造影（IL）已取代足背淋巴管造影（PL），成为一种更简便、更实用的使淋巴管显影的方法。随着越来越多的介入放射科医生（其中许多人未接受过PL培训或未进行过PL操作）将IL纳入其诊疗实践，他们必须熟悉淋巴管造影的风险，包括油性造影剂的肺栓塞和全身栓塞。在此，作者报告了一例IL术后乙碘油脑栓塞的严重病例，并回顾了有关淋巴管造影后全身栓塞的文献。
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