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头颈部病变的栓塞治疗:基础与临床技巧

Embolotherapy of Head and Neck Lesions: Basics and Clinical Tips.

作者信息

Tanoue Shuichi, Koganemaru Masamichi, Kuhara Asako, Kugiyama Tomoko, Roh Jieun, Mizushima Shohei, Sawano Miyuki, Fujimoto Nona, Tanaka Norimitsu, Abe Toshi

机构信息

Department of Radiology, Kurume University School of Medicine, Japan.

Department of Radiology, Pusan National University Yangsan Hospital, South Korea.

出版信息

Interv Radiol (Higashimatsuyama). 2024 Oct 4;9(3):112-121. doi: 10.22575/interventionalradiology.2024-0017. eCollection 2024 Nov 1.

DOI:10.22575/interventionalradiology.2024-0017
PMID:39559806
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11570249/
Abstract

Many pathological conditions involve the head and neck organs, which have complicated anatomy and functions. Recent advances in endovascular treatment have enabled clinicians to use it for treating various lesions, including hemorrhagic conditions, hypervascular tumors, and vascular malformations. Head and neck lesions may present with region-specific clinical manifestations, angioarchitecture, and complications, particularly regarding cosmetic, ingestion, respiratory, and neuronal functions. Therefore, the treatment strategy should consider cosmetic concerns and the preservation of critical functions. A detailed understanding of functional vascular anatomy and treatment techniques can help achieve successful management of head and neck lesions. This review summarizes the clinical manifestations of head and neck lesions, treatment strategies, and complications.

摘要

许多病理状况累及头颈部器官,这些器官具有复杂的解剖结构和功能。血管内治疗的最新进展使临床医生能够将其用于治疗各种病变,包括出血性疾病、高血运肿瘤和血管畸形。头颈部病变可能表现出特定区域的临床表现、血管构筑和并发症,尤其是在美容、吞咽、呼吸和神经功能方面。因此,治疗策略应考虑美容问题和关键功能的保留。对功能性血管解剖和治疗技术的详细了解有助于成功处理头颈部病变。本综述总结了头颈部病变的临床表现、治疗策略和并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/429bd7095422/2432-0935-9-3-0112-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/c6cd34ad7b71/2432-0935-9-3-0112-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/9475f4739752/2432-0935-9-3-0112-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/5b0590b82729/2432-0935-9-3-0112-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/e04c3eef1eca/2432-0935-9-3-0112-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/0942c190d5a9/2432-0935-9-3-0112-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/429bd7095422/2432-0935-9-3-0112-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/c6cd34ad7b71/2432-0935-9-3-0112-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/9475f4739752/2432-0935-9-3-0112-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/5b0590b82729/2432-0935-9-3-0112-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/e04c3eef1eca/2432-0935-9-3-0112-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/0942c190d5a9/2432-0935-9-3-0112-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ac5/11570249/429bd7095422/2432-0935-9-3-0112-g006.jpg

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本文引用的文献

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Head and Neck Arteriovenous Malformations: Clinical Manifestations and Endovascular Treatments.头颈部动静脉畸形:临床表现与血管内治疗
Interv Radiol (Higashimatsuyama). 2023 Jun 3;8(2):23-35. doi: 10.22575/interventionalradiology.2022-0009. eCollection 2023 Jul 1.
2
Endovascular embolization for the treatment of epistaxis: Systematic review and meta-analysis.血管内栓塞治疗鼻出血:系统评价和荟萃分析。
Interv Neuroradiol. 2023 Apr;29(2):172-182. doi: 10.1177/15910199221081715. Epub 2022 Mar 3.
3
Systematic review of pediatric mandibular arteriovenous malformations.
小儿下颌动静脉畸形的系统评价
Int J Pediatr Otorhinolaryngol. 2021 Nov;150:110942. doi: 10.1016/j.ijporl.2021.110942. Epub 2021 Oct 14.
4
Application of covered stent graft in the treatment of complex carotid artery lesions: A single center experience.覆膜支架移植物在治疗复杂颈动脉病变中的应用:单中心经验。
Vascular. 2022 Dec;30(6):1034-1043. doi: 10.1177/17085381211040991. Epub 2021 Aug 28.
5
Direct N-butyl-2-cyanoacrylate injections to the head and neck for percutaneous embolized devascularization.将正丁基-2-氰基丙烯酸酯直接注射到头部和颈部进行经皮栓塞去血管化。
Surg Neurol Int. 2021 Mar 30;12:131. doi: 10.25259/SNI_154_2021. eCollection 2021.
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Morbidity and mortality associated with sequential flow reduction embolization technique of cerebral arteriovenous malformations using n-butyl cyanoacrylate.使用氰基丙烯酸正丁酯的脑动静脉畸形序贯血流减少栓塞技术相关的发病率和死亡率。
J Neurointerv Surg. 2021 Mar;13(3):237-241. doi: 10.1136/neurintsurg-2020-016223. Epub 2020 Aug 14.
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Endovascular Treatment of Epistaxis.鼻出血的血管内治疗
Semin Intervent Radiol. 2020 Jun;37(2):150-156. doi: 10.1055/s-0040-1709156. Epub 2020 May 14.
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Full recovery after non-target cerebral embolization of n-butyl-cyanoacrylate occurred during emergency treatment of a facial arteriovenous malformation.在对面部动静脉畸形进行急诊治疗期间,正丁基氰基丙烯酸酯非靶性脑栓塞后实现了完全康复。
CVIR Endovasc. 2019 Jun 29;2(1):20. doi: 10.1186/s42155-019-0063-3.
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Embolization of brain arteriovenous malformations with intent to cure: a systematic review.脑动静脉畸形栓塞治疗的系统评价。
J Neurosurg. 2020 Feb 1;132(2):388-399. doi: 10.3171/2018.10.JNS181791. Epub 2019 Feb 1.
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J Oral Maxillofac Surg. 2018 Aug;76(8):1695-1707. doi: 10.1016/j.joms.2018.02.013. Epub 2018 Feb 22.