Mesurolle B, Lacombe P, Qanadli S, Barre O, Mulot R, Chagnon S
Service de Radiologie, Hôpital Ambroise Paré, Boulogne.
J Radiol. 1997 May;78(5):377-80.
Ischemic spinal cord injury is the major risk of bronchial artery embolization. The spinal artery may be overlooked on initial intercostobronchial trunk arteriography, as a result of reverse flow within the intercostal branch. Its identification, conversely, is easier on postembolization angiography. An illustrative case is presented, with angiographic correlation. The pathophysiology of the reverse flow is discussed. Technical recommendations are proposed for its detection.
缺血性脊髓损伤是支气管动脉栓塞术的主要风险。在最初的肋间支气管干动脉造影中,脊髓动脉可能会被忽视,这是由于肋间支内的逆流所致。相反,在栓塞后血管造影中更容易识别它。本文介绍了一个具有血管造影相关性的说明性病例。讨论了逆流的病理生理学。提出了检测逆流的技术建议。