Aberle Dwight, Charles Hearns, Hodak Steven, O'Neill Daniel, Oklu Rahmi, Deipolyi Amy R
Vascular and Interventional Radiology, NYU Langone Medical Center, New York, NY, USA.
Diagn Interv Radiol. 2017 Mar-Apr;23(2):156-162. doi: 10.5152/dir.2016.16230.
With the rising epidemic of obesity, interventional radiologists are treating increasing numbers of obese patients, as comorbidities associated with obesity preclude more invasive treatments. These patients are at heightened risk of vascular and oncologic disease, both of which often require interventional radiology care. Obese patients pose unique challenges in imaging, technical feasibility, and periprocedural monitoring. This review describes the technical and clinical challenges posed by this population, with proposed methods to mitigate these challenges and optimize care.
随着肥胖症的流行趋势不断上升,由于与肥胖相关的合并症使侵入性更强的治疗方法受到限制,介入放射科医生正在治疗越来越多的肥胖患者。这些患者患血管疾病和肿瘤疾病的风险更高,而这两种疾病往往都需要介入放射科的治疗。肥胖患者在成像、技术可行性和围手术期监测方面带来了独特的挑战。本综述描述了这一人群所带来的技术和临床挑战,并提出了应对这些挑战和优化治疗的方法。