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支气管动脉栓塞术的解剖学见解与关键要点

Anatomy Insights and Key Pearls for Bronchial Artery Embolization.

作者信息

Mansur Arian, Ghadery Abdolkarim Haji, Cohen Emil I, Schroeder Jamie Lee T, Habibollahi Peiman, Ukeh Ifechi, Ozen Merve, Anderson Eric, Boas F Edward, Nezami Nariman

机构信息

Harvard Medical School, Boston, Massachusetts.

Department of Radiology, Tehran University of Medical Sciences, Tehran, Iran.

出版信息

Semin Intervent Radiol. 2025 Feb 10;42(2):144-155. doi: 10.1055/s-0045-1802647. eCollection 2025 Apr.

Abstract

Although bronchial artery embolization (BAE) initially emerged as a critical minimally invasive image-guided procedure to manage massive hemoptysis regardless of underlying etiologies, there has been a growing interest in BAE to treat pulmonary malignancies within recent years. This article provides an in-depth exploration of bronchial artery anatomy, pathologies, imaging modalities in guiding effective BAE, and procedural pearls for successful intervention. The complexity of bronchial artery anatomy, including its variations and potential complications during embolization, necessitates thorough understanding and precise procedural techniques to optimize patient outcomes and minimize risks.

摘要

尽管支气管动脉栓塞术(BAE)最初作为一种关键的微创影像引导手术出现,用于治疗各种病因导致的大咯血,但近年来人们对BAE治疗肺部恶性肿瘤的兴趣日益浓厚。本文深入探讨了支气管动脉的解剖结构、病理情况、指导有效BAE的成像方式以及成功干预的操作要点。支气管动脉解剖结构的复杂性,包括其变异以及栓塞过程中可能出现的并发症,需要深入理解和精确的操作技术,以优化患者预后并降低风险。

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本文引用的文献

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Anterior Spinal Artery Syndrome After Bronchial Embolization for Hemoptysis: A Case Report and Literature Review.
BMJ Neurol Open. 2024 May 22;6(1):e000684. doi: 10.1136/bmjno-2024-000684. eCollection 2024.
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"Triple-low" radiation dose bronchial artery CT angiography before bronchial artery embolisation: a feasibility study.
Clin Radiol. 2023 Dec;78(12):e1017-e1022. doi: 10.1016/j.crad.2023.09.005. Epub 2023 Sep 25.
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