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儿科治疗性导管操作

Therapeutic catheter procedures in pediatrics.

作者信息

Hoffer F A, Fellows K E, Wyly J B, Lock J E

出版信息

Pediatr Clin North Am. 1985 Dec;32(6):1461-76. doi: 10.1016/s0031-3955(16)34937-9.

Abstract

There is a large spectrum of interventional catheter procedures being performed presently in children. The procedures that offer a greater advantage than surgical techniques and that will continue to be established procedures include percutaneous angioplasty of the pulmonary valve, peripheral pulmonary artery and caval stenosis, embolizations of pulmonary collaterals and pulmonary arteriovenous malformations, angioplasty of vascular access shunt, embolization of bronchial arteries for hemoptysis, and percutaneous nephrostomy and abscess drainage procedures. Others that have been successful but not yet routinely established in children include thrombolysis, renal artery angioplasty, embolization of peripheral arteriovenous malformations, dilatation of the urinary and gastrointestinal tract stenosis, and percutaneous biopsy.

摘要

目前,儿童中正在进行大量的介入导管手术。这些手术比外科技术具有更大的优势,并且将继续成为既定手术,包括肺动脉瓣、外周肺动脉和腔静脉狭窄的经皮血管成形术,肺侧支和肺动静脉畸形的栓塞,血管通路分流的血管成形术,咯血时支气管动脉的栓塞,以及经皮肾造瘘术和脓肿引流手术。其他已取得成功但尚未在儿童中常规开展的手术包括溶栓、肾动脉血管成形术、外周动静脉畸形的栓塞、泌尿道和胃肠道狭窄的扩张,以及经皮活检。

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