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7Fr 腔内胆管钳系统在血管腔内下腔静脉活检中的超说明书使用。

Off label use of a 7Fr endo-biliary forceps system for endovascular inferior vena cava biopsy.

作者信息

Grigoriadis Stavros, Spiliopoulos Stavros, Korogiannos Athanasios, Palialexis Konstantinos, Filippiadis Dimitrios, Kelekis Nikolaos

机构信息

2nd Department of Radiology, Interventional Radiology Unit, National and Kapodistrian University of Athens, Attikon" University General Hospital, 1st Rimini St, 12461, Chaidari, Athens, GR, Greece.

Interventional Radiology-Oncology Clinic, Athens Medical Center, Marousi, Athens, Greece.

出版信息

CVIR Endovasc. 2025 Apr 21;8(1):31. doi: 10.1186/s42155-025-00548-9.

DOI:10.1186/s42155-025-00548-9
PMID:40257520
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12011685/
Abstract

Endovascular inferior vena cava (IVC) mass biopsy emerges as a minimally invasive promising technique for the acquisition of tissue samples for histological analysis, crucial for determining the malignant or benign nature of the lesion and guiding subsequent treatment. This report details the first successful off label use of a low-profile 5.2Fr biliary forceps system, via a 7Fr sheath, for endovascular IVC biopsy in a 61-year-old male patient with a history of left nephrectomy due to Gravitz tumour presenting with IVC thrombosis at 5-years follow up, suspicious for recurrence.

摘要

血管腔内下腔静脉(IVC)肿物活检作为一种微创且有前景的技术应运而生,用于获取组织样本进行组织学分析,这对于确定病变的恶性或良性性质以及指导后续治疗至关重要。本报告详细介绍了首例成功的非标签使用情况,即通过一个7Fr鞘管,将一种外形小巧的5.2Fr胆道钳系统用于一名61岁男性患者的血管腔内IVC活检。该患者曾因格拉维茨瘤行左肾切除术,5年随访时出现IVC血栓形成,怀疑复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ba/12011685/de7761cd9af0/42155_2025_548_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ba/12011685/de7761cd9af0/42155_2025_548_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/03ba/12011685/de7761cd9af0/42155_2025_548_Fig1_HTML.jpg

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本文引用的文献

1
Endovascular Biopsy of an Inferior Vena Cava Mass: A Case Report.下腔静脉肿物的血管内活检:一例报告
Cureus. 2023 Apr 13;15(4):e37546. doi: 10.7759/cureus.37546. eCollection 2023 Apr.
2
Biliary involvement in liver metastases: long-term experience with biliary biopsy from a single center.肝转移中的胆道受累:来自单一中心的胆道活检长期经验
Radiol Bras. 2021 Jan-Feb;54(1):15-20. doi: 10.1590/0100-3984.2020.0004.
3
Percutaneous endovascular tissue sampling of endoluminal tumors using directional atherectomy.经皮腔内血管组织取样术定向旋切术治疗腔内肿瘤。
Eur Radiol. 2019 Sep;29(9):5007-5012. doi: 10.1007/s00330-019-06015-z. Epub 2019 Feb 22.
4
Percutaneous endovascular biopsy of intravascular masses: efficacy and safety in establishing pre-therapy diagnosis.经皮腔内血管内肿块活检术:在建立治疗前诊断中的疗效和安全性。
Eur Radiol. 2018 Jan;28(1):301-307. doi: 10.1007/s00330-017-4983-9. Epub 2017 Aug 4.