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脾动脉栓塞术在创伤及其他情况中的应用:病例系列

Splenic Arterial Embolization for Trauma and Beyond: A Case Series.

作者信息

Choy Chun Hin, Lee Yat Sing, Cheung Pui Lam, Ho Cheuk Him, Siu Jimmy Chi Wai

机构信息

Department of Radiology and Nuclear Medicine, Tuen Mun Hospital, Hong Kong, China.

Department of Radiology, Pok Oi Hospital, Hong Kong, China.

出版信息

Vasc Specialist Int. 2024 Jun 7;40:18. doi: 10.5758/vsi.240030.

Abstract

Splenic artery embolization plays an important role in the management of various medical and surgical conditions that are non-traumatic in etiology, in addition to its well-established and widely discussed role in managing splenic trauma. In nontraumatic emergencies of catastrophic bleeding originating from the spleen or splenic artery, splenic artery embolization can be effective in achieving hemostasis as a definitive management, temporary stabilizing measure, or preoperative optimization technique. In addition to emergency clinical conditions, splenic artery embolization can be performed electively as an alternative to splenectomy for managing patients with hypersplenism. Herein, we report 6 cases of splenic artery embolization performed at our center to highlight its various indications. This article aims to demonstrate the role of splenic artery embolization in different clinical scenarios and the considerations behind the techniques employed through illustrative cases.

摘要

脾动脉栓塞术在各种病因非创伤性的内科和外科疾病的治疗中发挥着重要作用,此外,其在脾外伤治疗中已确立且广泛讨论的作用也备受关注。在源于脾脏或脾动脉的灾难性出血的非创伤性急症中,脾动脉栓塞术作为一种确定性治疗、临时稳定措施或术前优化技术,在实现止血方面可能有效。除了紧急临床情况外,脾动脉栓塞术还可作为脾切除术的替代方案,选择性地用于治疗脾功能亢进患者。在此,我们报告了在我们中心进行的6例脾动脉栓塞术病例,以突出其各种适应证。本文旨在通过实例说明脾动脉栓塞术在不同临床场景中的作用以及所采用技术背后的考虑因素。

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