White R I, Barth K H, Kaufman S L, DeCaprio V, Strandberg J D
Cardiovasc Intervent Radiol. 1980;3(4):229-41. doi: 10.1007/BF02552732.
In our first 18 months' clinical experience with embolization in the chest and abdomen using detachable balloons, successful results were obtained in 34 of 38 patients. One and 2-mm detachable silicone balloons, which can occlude vessels 4--8 mm in diameter, were employed. Prolonged balloon inflation was routinely achieved using iso-osmotic iodipamide meglumine as the filler and limiting inflation volumes to experimentally determined maximums. Improvements in introducer catheter design simplified delivery of the balloon into a variety of circulations. Detachable balloons are not suitable for all embolization purposes, and they are frequently used in conjunction with other agents. When used properly, balloons produce a permanent occlusion that is extremely selective and potentially reversible up to a certain point in the procedure. The balloon technique enables the angiographer to occlude vessels at distances of 2--10 mm beyond the introducer catheter, thus avoiding the need for subselective catheterization and minimizing the dangers of inadvertent embolization.
在我们最初18个月使用可脱性球囊进行胸腹部栓塞的临床经验中，38例患者中有34例取得了成功。使用的是直径1毫米和2毫米的可脱性硅胶球囊，可闭塞直径4至8毫米的血管。常规使用等渗碘他拉葡胺作为填充剂并将充盈量限制在实验确定的最大值来实现球囊的长时间充盈。导管引入器设计的改进简化了将球囊输送至各种循环系统的过程。可脱性球囊并不适用于所有栓塞目的，且常与其他栓塞剂联合使用。如果使用得当，球囊可产生永久性闭塞，这种闭塞极具选择性，并且在操作过程的某个阶段有可能是可逆的。球囊技术使血管造影师能够在距导管引入器2至10毫米的距离处闭塞血管，从而避免了进行超选择性插管的必要性，并将意外栓塞的风险降至最低。
