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肝淀粉样变性经皮肝穿刺活检后出血的成功经动脉栓塞治疗

Successful transarterial embolization of hemorrhage following percutaneous liver biopsy in hepatic amyloidosis.

作者信息

Feinggumloon Sasikorn, Panpikoon Tanapong, Piyajaroenkij Thanakrit, Prasertchai Tanatip, Treesit Tharintorn

机构信息

Department of Diagnostic and Therapeutic Radiology, Faculty of Medicine Ramathibodi Hospital, Mahidol University Bangkok Thailand.

Division of Hematology, Department of Medicine, Faculty of Medicine Ramathibodi Hospital, Mahidol University Bangkok Thailand.

出版信息

Clin Case Rep. 2024 Oct 8;12(10):e9223. doi: 10.1002/ccr3.9223. eCollection 2024 Oct.

Abstract

Percutaneous liver biopsy is essential for diagnosing hepatic amyloidosis. Post biopsy hemorrhage is unusual but can occur. The potential for bleeding can result from various factors, such as the deposition of amyloid in the hepatic parenchyma or vessel wall, deficiencies in coagulation factors, hyperfibrinolysis, and platelet dysfunction. Transarterial embolization can be a safe and effective method for achieving hemostasis.

摘要

经皮肝活检对于诊断肝淀粉样变性至关重要。活检后出血并不常见,但可能发生。出血的可能性可由多种因素导致,如淀粉样蛋白在肝实质或血管壁中的沉积、凝血因子缺乏、纤维蛋白溶解亢进以及血小板功能障碍。经动脉栓塞可以是实现止血的一种安全有效的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/93e4/11461566/c8dfebd1613b/CCR3-12-e9223-g001.jpg

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