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使用新型铂微线圈(贝伦斯坦液体线圈)进行成功的经导管栓塞治疗

Successful transcatheter embolotherapy with a new platinum microcoil: the Berenstein Liquid Coil.

作者信息

Ha-Kawa S K, Kariya H, Murata T, Tanaka Y

机构信息

Department of Radiology, Kansai Medical University, 10-15 Fumizono-cho, Moriguchi-city, Osaka, 570 Japan.

出版信息

Cardiovasc Intervent Radiol. 1998 Jul-Aug;21(4):297-9. doi: 10.1007/s002709900264.

Abstract

PURPOSE

To determine the usefulness of a new platinum microcoil, the Berenstein Liquid Coil for vascular embolization.

METHODS

Nine patients underwent transcatheter arterial embolization with liquid coils. The occluded vessels included the splenic artery in four patients, gastroduodenal artery in two, arteriovenous malformation or fistula in two, and middle hepatic artery in one. All coils were delivered with a saline flush through a Tracker-18 catheter.

RESULTS

All arteries except one were successfully occluded in a one-stage procedure using liquid coils. No friction was observed between the liquid coils and the microcatheter regardless of the tortuosity of the artery. Platelet counts in all patients had increased after splenic embolization. In two patients with liver tumors, perfusion to the inappropriate area during intraarterial chemotherapy was prevented by selective embolization. Life-threatening bleeding was successfully treated by gastroduodenal artery occlusion. No complications were encountered.

CONCLUSION

The Berenstein Liquid Coil provides easy, safe, and rapid vascular occlusion.

摘要

目的

确定一种新型铂微线圈——贝伦斯坦液体线圈在血管栓塞中的实用性。

方法

9例患者接受了液体线圈经导管动脉栓塞术。被栓塞的血管包括4例患者的脾动脉、2例患者的胃十二指肠动脉、2例患者的动静脉畸形或瘘以及1例患者的肝中动脉。所有线圈均通过Tracker - 18导管用盐水冲洗推送。

结果

除1条动脉外,所有动脉均通过液体线圈在一期手术中成功栓塞。无论动脉迂曲程度如何,液体线圈与微导管之间均未观察到摩擦。所有患者脾栓塞后血小板计数均升高。在2例肝肿瘤患者中,通过选择性栓塞防止了动脉内化疗期间对不适当区域的灌注。胃十二指肠动脉闭塞成功治疗了危及生命的出血。未出现并发症。

结论

贝伦斯坦液体线圈可实现简便、安全且快速的血管闭塞。

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