Catheter embolization of liver and kidney of bleed

ncycgdxhl · Wysłany: Czw 22:33, 17 Mar 2011

Catheter embolization of liver and kidney of bleeding

Feces of patients had blood transcatheter arterial embolus fTAE) treatment,[link widoczny dla zalogowanych], with good results, the text highlights the embolus Feng Hao Fang, and tied the use of suppositories. I. Materials and Methods: 9 cases were male Bong. Aged 24 to 77 years, with an average 518 years old. 4 cases of hepatic rupture in patients with abdominal pain with vomiting or blood in the stool on admission, 2 of which side of the recurrence after repair of traumatic hepatic hemorrhage; 2 cases of spontaneous rupture of hepatocellular carcinoma, abdominal wear out of bloody fluid. 5 cases of renal cell carcinoma patients with kidney area of clinical swelling City and barrier process is characterized by gross painless hematuria, including 3 patients with pulmonary metastases. Methods: The Seldinger femoral artery puncture method, the hepatic artery angiography and renal artery surgery were abandoned. Contrast agent: 60% to 76% diatrizoate, renal artery with 20 ~ 25ml; hepatic artery with a 30 ~ 45m1. Jing flow rate injection of contrast: the renal artery 4 ~ 6ml / s, hepatic artery 6 ~ lOml / sec. Radiography procedures: liver, kidney are in the l,[link widoczny dla zalogowanych], 3.57,9, l2 seconds radiography, a total of 6. Were abandoned after the anteroposterior plain film camera. Embolic agents: self-made stainless steel ring, the size of the vessel diameter at any time under the edge of the stage production, usually 1 to 3. Gelatin sponge particles and articles. Anticancer drug iodized oil emulsion (embolus liver, kidney tumor blood vessels). 3 cases of renal cell carcinoma with pulmonary metastasis, while in renal TAE super selective use of pulmonary artery through the femoral vein catheterization for a long time chemotherapy. II. Results: TAE diagnosis before treatment: 4 side of the liver rupture were confirmed by hepatic angiography, including 2 side confirmed by operation. 5 side of the kidney by ultrasound, chest plain film, CT and angiography confirmed the primary tumor and metastasis. Blood tests showed severe anemia changed. Angiography: angiographic signs of liver rupture of hepatic artery branches to break. Shift and contrast extravasation (Figure 1), a small nodular liver edge, strip contrast agent to leak out, in real terms of the clear. Were abandoned after the vessel occlusion angiography see no contrast extravasation (Figure 2). Renal arteriography, see renal artery thickening, increased vascular tumor areas, expansion. Distorted disorder, the form of pellets http 3), with vascular lake,[link widoczny dla zalogowanych], and the adjacent door shows the transfer of renal nodules. Most of repeated blood vessels disappeared after TAE treatment, swelling was significantly reduced wine container I / b (Figure 41.3 Side metastatic renal cell carcinoma by pulmonary angiography with pulmonary artery blood supply. Third, the discussion: i field of traumatic rupture of the right lobe repair sunset 6 Zhou Fasheng after repeated bleeding. Fixed Wing Nang piece of the right lobe showed 3emx3cm abuse shaggy outer sheet imaging Jing (arrow) around 2 Kids in a plug-tying sad after the disease made videos. superselective right hepatic artery , Rim gelatin sponge embolus, arrow indicates vascular barrier blocking the field finished 3 of left renal cell carcinoma with peritoneal metastasis after sunset and, concurrently a large number of blood feces. renal selective arteriography. parenchymal phase clearly shows a huge tumor Nang film staining,[link widoczny dla zalogowanych], liver and kidney showed multiple bleeding vascular type 1 TAE treatment indications and clinical value: injury or swelling of the liver and kidney bleeding I Jiyou TAE treatment are effective,[link widoczny dla zalogowanych], their application has been fully affirmed the does not apply to the situation in the Taiwan operations F, TAE is a kind of injury is small, safe and effective barrier methods, especially for hepatic recurrence after repair of advanced tumor with massive hemorrhage, or bleeding, a greater value of 2.. the liver, kidney hemorrhage Methods and embolus embolus agents: vehicle group of cases based on imaging shows the lesion, the size of fixed degree and were abandoned Luan intubation scope of the original Zhen Ⅱ on the target vessel thrombosis, reduce normal tissue damage. of liver rupture of the patients, we with superselective catheterization, in the absence of movement chu i: t first the case of short circuit gelatin sponge pieces pull r1.5ram × 1.5mm × 2.0ram, 3 ~ 5 unit) into the hepatic artery, the pressure of the rupture Unit: I30021 Medical University, Changchun City Bai Li Yan third Pro Health Medical Abdominal Radiology