Bhansali S, Wilner H, Jacobs J R
J Laryngol Otol. 1986 Nov;100(11):1289-93. doi: 10.1017/s0022215100100994.
There are a number of patients with unresectable recurrent carcinoma of the head and neck who continue to lead a relatively functional life despite advanced local disease. For these patients bleeding from tumor represents a devastating complication that can abruptly terminate the course of an otherwise chronic disease, albeit a uniformly fatal one. The technique we describe renders a relatively safe and effective treatment that seems to control this problem. We report on our experience with three patients whose tumor bleeding was controlled by permanent intra-arterial embolization with Ivalon, a polyvinyl alcohol-based foam. The technique, indications, and complications are discussed.
有许多头颈部复发性癌无法切除的患者，尽管局部疾病已进展，但仍能维持相对正常的生活功能。对于这些患者来说，肿瘤出血是一种极具破坏性的并发症，它可能会突然终止原本呈慢性发展的病程，尽管这种慢性病最终都会致命。我们所描述的技术提供了一种相对安全有效的治疗方法，似乎可以控制这一问题。我们报告了三例患者的治疗经验，他们的肿瘤出血通过使用基于聚乙烯醇的泡沫材料Ivalon进行永久性动脉内栓塞得以控制。文中还讨论了该技术、适应证及并发症。
