Beaujeux R, Saussine C, al-Fakir A, Boudjema K, Roy C, Jacqmin D, Bourjat P
Department of Radiology A, Hôpital Civil, Strasbourg, France.
J Urol. 1995 Jan;153(1):14-7. doi: 10.1097/00005392-199501000-00007.
Embolization with platinum micro-coils delivered through the Tracker-18 micro-catheter was performed in 6 patients when peripheral selective catheterization with standard angiographic catheters was not possible. The patients had a total of 7 peripheral renal vascular lesions (3 arteriovenous fistulas, 2 false aneurysms, 1 direct vascular trauma and 1 arteriovenous malformation). In all patients we initially used platinum micro-coils as the embolic agent. Two patients required repeat embolization with glue. Endo-vascular treatment was technically successful in all cases and no complications were encountered. There was no renal parenchyma infarction in 3 patients and small peripheral infarctions (10 to 15% of the renal parenchyma) occurred in 3. Super selective endo-vascular treatment with a variable stiffness catheter is safe and useful technique when classical methods of embolization are not possible.
当使用标准血管造影导管无法进行外周选择性导管插入术时，对6例患者采用通过Tracker-18微导管输送铂微线圈进行栓塞治疗。这些患者共有7处外周肾血管病变（3处动静脉瘘、2处假性动脉瘤、1处直接血管损伤和1处动静脉畸形）。在所有患者中，我们最初使用铂微线圈作为栓塞剂。2例患者需要用胶水重复栓塞。血管内治疗在所有病例中技术上均获成功，未出现并发症。3例患者未发生肾实质梗死，3例出现小的外周梗死（占肾实质的10%至15%）。当传统栓塞方法不可行时，使用可变硬度导管进行超选择性血管内治疗是一种安全且有用的技术。
