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动脉性食管出血:两例通过计算机断层扫描识别食管动脉并成功进行经导管动脉栓塞治疗

Arterial Esophageal Hemorrhage: Identification of Esophageal Arteries with Computed Tomography and Successful Transcatheter Arterial Embolization in Two Cases.

作者信息

Horii Toshihiro, Arai Yasunori, Nakama Rakuhei, Kobayashi Tatsushi

机构信息

Department of Diagnostic Radiology, National Cancer Center Hospital East, Japan.

Department of Diagnostic Radiology, Tokyo Medical and Dental University, Japan.

出版信息

Interv Radiol (Higashimatsuyama). 2025 Apr 25;10:e20240014. doi: 10.22575/interventionalradiology.2024-0014. eCollection 2025.

Abstract

Arterial esophageal hemorrhage, a relatively rare condition, necessitates prompt therapeutic intervention. The esophageal arteries, originating directly from the aorta and being extremely narrow, are often difficult to identify through angiography alone. We report two cases of arterial esophageal hemorrhage related to esophageal cancer in which the esophageal arteries were identified by contrast-enhanced computed tomography prior to angiography, enabling successful transcatheter arterial embolization. Arterial esophageal hemorrhage requires rapid treatment intervention due to its complex blood supply. Preoperative evaluation with computed tomography appears to be effective.

摘要

食管动脉出血是一种相对罕见的病症,需要及时进行治疗干预。食管动脉直接起源于主动脉,且极为狭窄,往往仅通过血管造影术难以识别。我们报告了两例与食管癌相关的食管动脉出血病例,其中在血管造影术前通过增强计算机断层扫描识别出食管动脉,从而成功进行了经导管动脉栓塞术。由于食管动脉出血的血供复杂,需要迅速进行治疗干预。计算机断层扫描的术前评估似乎是有效的。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/031c/12408246/4cef4d034bfd/2432-0935-10-e2024-0014-g001.jpg

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