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一种用于急性出血选择性经动脉栓塞的新型适形栓塞剂:技术说明

A novel conformable embolic for selective transarterial embolization of acute hemorrhages: a technical note.

作者信息

Yu Qian, Ahmed Osman, Chen Jiaqi, Islam Yousuf, Funaki Brian, Patel Mikin

机构信息

Department of Radiology, University of Chicago Medical Center, University of Chicago, Chicago, IL, 60637, USA.

Chicago Medical School, 3333 N Green Bay Rd, North Chicago, IL, 60064, USA.

出版信息

CVIR Endovasc. 2024 Nov 6;7(1):78. doi: 10.1186/s42155-024-00492-0.

Abstract

BACKGROUND

Obsidio conformable embolic (OCE, Boston Scientific, MA) is a novel, radiopaque and conformable embolic. The purpose of this report is to describe its use for treatment of acute intra-abdominal hemorrhages.

METHODS AND RESULTS

Three patients presented with acute hemorrhage and were treated with OCE, including post-paracentesis hemorrhage, penetrating trauma to the liver, and blunt trauma in the spleen. All cases were performed under moderate sedation, with hemostasis achieved by end of procedure using less than 1 vial of OCE (0.2-0.4 ml). No severe adverse events occurred. None required repeated treatment.

SHORT CONCLUSION

OCE is a safe and effective embolic agent for treatment of intra-abdominal or visceral hemorrhage. Future studies with larger sample sizes and longer follow-up are warranted.

摘要

背景

Obsidio顺应性栓塞剂(OCE,波士顿科学公司,马萨诸塞州)是一种新型的、不透射线且顺应性良好的栓塞剂。本报告的目的是描述其用于治疗急性腹腔内出血的情况。

方法与结果

3例急性出血患者接受了OCE治疗,包括腹腔穿刺后出血、肝脏穿透伤和脾脏钝挫伤。所有病例均在中度镇静下进行,手术结束时使用少于1瓶OCE(0.2 - 0.4毫升)实现止血。未发生严重不良事件。无一例需要重复治疗。

简短结论

OCE是治疗腹腔内或内脏出血的一种安全有效的栓塞剂。有必要进行更大样本量和更长随访时间的未来研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/aeca/11541968/35540525a4f3/42155_2024_492_Fig1_HTML.jpg

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