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使用外径为4F的引导器通过可操纵微导管进行小儿腹部动脉介入治疗:两例报告。

Pediatric abdominal arterial intervention using a steerable microcatheter through an introducer with 4-F outer diameter: report of two cases.

作者信息

Onishi Yasuyuki, Ohno Tsuyoshi, Shimizu Hironori, Hiramatsu Hidefumi, Yokoyama Atsushi, Okamoto Tatsuya, Nakamoto Yuji

机构信息

Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University Graduate School of Medicine, Kyoto, Japan.

Department of Pediatrics, Kyoto University Graduate School of Medicine, Kyoto, Japan.

出版信息

Radiol Case Rep. 2021 Aug 27;16(11):3326-3329. doi: 10.1016/j.radcr.2021.07.095. eCollection 2021 Nov.

DOI:10.1016/j.radcr.2021.07.095
PMID:34484540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8403709/
Abstract

In pediatric arteriography, vascular complications are more common than in adults; thus, the use of the smallest catheter to accomplish the objective of the procedure is recommended. We describe two pediatric cases in which abdominal arterial embolization and arteriography were performed with steerable microcatheters without conventional diagnostic catheters. Additionally, we used an introducer with an outer diameter of 4-F in a Mini Access Kit (Merit Medical, South Jordan, UT) as a vascular sheath to reduce sheath size. We believe that this technique may be feasible and safe for abdominal arterial interventions in children.

摘要

在儿科血管造影中,血管并发症比成人更常见;因此,建议使用最小的导管来完成该操作的目标。我们描述了两例儿科病例,其中使用可操纵微导管进行腹部动脉栓塞和血管造影,而未使用传统诊断导管。此外,我们在迷你接入套件(美德医疗,南乔丹,犹他州)中使用外径为4-F的导入器作为血管鞘,以减小鞘的尺寸。我们认为这种技术对于儿童腹部动脉干预可能是可行且安全的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ece5/8403709/d681c14a9c2f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ece5/8403709/6e29d20aeee1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ece5/8403709/d9c966afc82a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ece5/8403709/d681c14a9c2f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ece5/8403709/6e29d20aeee1/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ece5/8403709/d9c966afc82a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ece5/8403709/d681c14a9c2f/gr3.jpg

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本文引用的文献

1
Pediatric Traumas and Paradigm Shifts: The Necessary Adaption of the Steerable Microcatheter in Pediatric Interventional Radiology.儿科创伤与范式转变:儿科介入放射学中可操纵微导管的必要适应性调整
Cureus. 2019 Feb 23;11(2):e4125. doi: 10.7759/cureus.4125.
2
Single-Administration Hepatic Arterial Infusion Chemotherapy Using Steerable Microcatheter Alone through Outer Cannula of 18-Gauge Needle: A Preliminary Study.
J Vasc Interv Radiol. 2019 Mar;30(3):471-473. doi: 10.1016/j.jvir.2018.08.013.
3
Welcome to the New Era: A Completely Wireless Interventional Procedure.欢迎来到新时代:一种完全无线的介入手术。
Cureus. 2018 Sep 19;10(9):e3337. doi: 10.7759/cureus.3337.
4
Retrograde Pedal Access and Endovascular Revascularization: A Safe and Effective Technique for High-Risk Patients with Complex Tibial Vessel Disease.逆行足背入路与血管腔内血运重建:治疗复杂胫血管疾病高危患者的一种安全有效的技术
Ann Vasc Surg. 2016 Feb;31:91-8. doi: 10.1016/j.avsg.2015.09.015. Epub 2015 Nov 26.
5
Prospective evaluation of the optimal duration of bed rest after vascular interventions using a 3-French introducer sheath.使用3法国导入鞘对血管介入术后最佳卧床休息时间的前瞻性评估。
Cardiovasc Intervent Radiol. 2015 Feb;38(1):40-4. doi: 10.1007/s00270-014-0892-3. Epub 2014 Apr 9.
6
Joint quality improvement guidelines for pediatric arterial access and arteriography: from the Societies of Interventional Radiology and Pediatric Radiology.儿科动脉通路与血管造影联合质量改进指南:来自介入放射学会和儿科放射学会
J Vasc Interv Radiol. 2010 Jan;21(1):32-43. doi: 10.1016/j.jvir.2009.09.006. Epub 2009 Nov 18.