Fu Yingli, Kraitchman Dara L
Department of Radiology and Radiological Science, Johns Hopkins University, School of Medicine, Baltimore, MD.
Department of Radiology and Radiological Science, Johns Hopkins University, School of Medicine, Baltimore, MD.
Tech Vasc Interv Radiol. 2020 Mar;23(1):100656. doi: 10.1016/j.tvir.2020.100656. Epub 2020 Jan 11.
The prevalence of obesity is increasing globally, leading to significantly increased morbidity, mortality, and health care costs. However, there is a lack of effective treatment options that can treat patients with obesity less invasively than with bariatric surgery. Bariatric arterial embolization (BAE) is an image-guided, minimally invasive, percutaneous procedure that is currently being investigated in preclinical animal models and early clinical trials. If successful, BAE may represent a viable interventional approach for obesity treatment. The purpose of this article is to introduce the physiological and anatomical rationale for BAE, review techniques involved in performing BAE for weight modulation, and provide up-to-date preclinical evidence that supports the translation of BAE into patients.
全球肥胖症的患病率正在上升,导致发病率、死亡率和医疗保健成本显著增加。然而,目前缺乏有效的治疗方案,能够以比减肥手术侵入性更小的方式治疗肥胖患者。减肥动脉栓塞术(BAE)是一种在影像引导下的、微创的经皮手术,目前正在临床前动物模型和早期临床试验中进行研究。如果成功,BAE可能成为一种可行的肥胖症治疗介入方法。本文的目的是介绍BAE的生理和解剖学原理,回顾进行BAE以调节体重所涉及的技术,并提供支持将BAE应用于患者的最新临床前证据。