共查询到11条相似文献,搜索用时 0 毫秒
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Insulinomas are rare, mostly benign neuroendocrine tumors, originating in 99% of cases from the pancreas, that synthesize
and secrete insulin, causing symptomatic hypoglycemia. Today the treatment of choice is surgical removal. We present the case
of an 84-year-old woman with a symptomatic insulinoma who refused surgery and was treated with arterial embolization using
trisacryl gelatin microspheres as definitive treatment. 相似文献
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Hae Won Lee Kyung-Suk Suh Joohyun Kim Woo Young Shin Nam-Joon Yi Hwan Jun Jae Jin Wook Chung So Won Oh Keon Wook Kang Kuhn Uk Lee 《Korean journal of radiology》2010,11(4):485-489
Although liver transplantation (LT) is the only effective treatment option for hepatopulmonary syndrome (HPS), the post-LT morbidity and mortality have been high for patients with severe HPS. We performed post-LT embolotherapy in a 10-year-old boy who had severe type I HPS preoperatively, but he failed to recover early from his hypoxemic symptoms after an LT. Multiple embolizations were then successfully performed on the major branches that formed the abnormal vascular structures. After the embolotherapy, the patient had symptomatic improvement and he was discharged without complications. 相似文献
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Fatal Peritoneal Bleeding Following Embolization of a Carotid-Cavernous Fistula in Ehlers-Danlos Syndrome Type IV 总被引:1,自引:1,他引:0
Usinskiene J Mazighi M Bisdorff A Houdart E 《Cardiovascular and interventional radiology》2006,29(6):1104-1106
We report the case of a 25-year-old woman treated for a spontaneous carotid-cavernous fistula in a context of Ehlers-Danlos
syndrome type IV. Embolization with a transvenous approach was achieved without complications; however, the patient died 72
hr later of massive intraperitoneal bleeding. At autopsy, no lesion of the digestive arteries was identified. Possible causes
of this bleeding are discussed. 相似文献
5.
Sahin S Celebi A Yalçin Y Saritaş M Bilal MS Celik L 《Cardiovascular and interventional radiology》2005,28(2):249-253
Scimitar syndrome is a rare congenital disorder. It is characterized by partial or total abnormal venous drainage of the right lung into the inferior vena cava, which is often associated with anomalous systemic arterial supply to the right lung, congenital cardiac anomalies, hypoplasia of the right lung and bronchial anomalies. Symptoms depend on the degree of the shunt and severity of the associated anomalies, which determine the treatment. We present a 6-year-old boy who was diagnosed as having the adult form of scimitar syndrome during evaluation for recurrent pulmonary infections, and underwent embolization with a detachable silicon balloon of the anomalous systemic arterial supply from the abdominal aorta to the right lower lung lobe. Successful elective surgery was performed 6 months later, in which right pulmonary veins were directed to the left atrium using a Gore-Tex patch by creating an intra-atrial tunnel. The patient has been symptom-free period during 6 months of follow-up, which supports the idea that recurrent pulmonary infections can be eliminated by embolization of the anomalous arterial supply. 相似文献
6.
We present a patient with Ehlers-Danlos syndrome type IV (EDS IV) with a carotid dissecting pseudoaneurysm causing severe
carotid stenosis. This lesion was treated endovascularly. Unfortunately, the patient died of remote vascular catastrophes
(intracranial hemorrhage and abdominal aortic rupture). This unique case illustrates the perils of endovascular treatment
of EDS IV patients and the need for preoperative screening for concomitant lesions. It also shows that a dissecting pseudoaneurysm
can feasibly be treated with a covered stent and that closure is effective using Angioseal in patients with EDS IV. 相似文献
7.
Kim SJ Kim CW Kim S Lee TH Kim KI Moon TY Chung SW 《Cardiovascular and interventional radiology》2005,28(6):818-821
We report a case of acute hemothorax caused by a left internal thoracic artery pseudoaneurysm rupture in a patient with neurofibromatosis
type I, which was successfully treated with endovascular coil embolization. 相似文献
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Resolution of Large Azygos Vein Aneurysm Following Stent-Graft Shunt Placement in a Patient with Ehlers-Danlos Syndrome Type IV 总被引:1,自引:1,他引:0
D'Souza ES Williams DM Deeb GM Cwikiel W 《Cardiovascular and interventional radiology》2006,29(5):915-919
Ehlers-Danlos syndrome (EDS) type IV is a rare connective tissue disorder associated with thin-walled, friable arteries and
veins predisposing patients to aneurysm formation, dissection, fistula formation, and vessel rupture. Azygos vein aneurysm
is an extremely rare condition which has not been reported in association with EDS in the literature. We present a patient
with EDS type IV and interrupted inferior vena cava (IVC) with azygos continuation who developed an azygos vein aneurysm.
In order to decrease flow through the azygos vein and reduce the risk of aneurysm rupture, a stent-graft shunt was created
from the right hepatic vein to the azygos vein via a transhepatic, retroperitoneal route. At 6 month follow-up the shunt was
open and the azygos vein aneurysm had resolved. 相似文献
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Spontaneous Rupture of the Hepatic Artery in a Patient with Type 1 Neurofibromatosis Treated by Embolization: A Case Report 总被引:1,自引:0,他引:1
Rao V Day CP Manimaran N Hurlow RA Orme R 《Cardiovascular and interventional radiology》2007,30(1):124-125
We report the case of a 48-year-old man with neurofibromatosis presenting with sudden-onset abdominal pain, profound hypotension,
and a drop in hemoglobin. CT scan demonstrated a massive hematoma within the right lobe of the liver with rupture into the
peritoneal cavity. Angiography demonstrated diffuse abnormalities of the hepatic circulation with fusifom, ectatic, and stenotic
segments. Acute extravasation from a peripheral branch of the right hepatic artery was identified and successfully embolized
with subsequent hemodynamic stabilization of the patient. To the best of our knowledge this is the first case report of this
kind in a patient with type I neurofibromatosis. 相似文献
10.
Jose A. Guirola Maria Sánchez-Ballestin Sergio Sierre Celia Lahuerta Victoria Mayoral Miguel A. De Gregorio 《Journal of vascular and interventional radiology : JVIR》2018,29(1):45-53
Purpose
To compare safety and efficacy of vascular plugs (VPs) and fibered platinum coils (FPCs) for embolization in pelvic congestion syndrome (PCS).Materials and Methods
A randomized, prospective, single-center study enrolled 100 women with PCS from January 2014 to January 2015. Patients were randomly assigned to 2 groups, and embolization was performed with FPCs (n = 50) or VPs (n = 50). Mean age of patients was 42.7 years ± 7.60, and mean visual analog scale (VAS) score for pelvic pain before treatment was 7.4 ± 7.60. Primary outcome (clinical success at 1 y using a VAS), number of devices, procedure and fluoroscopy times, radiation doses, costs, and complications were compared, and participants were followed at 1, 3, 6, and 12 months.Results
Clinical success and subjective improvement were not significantly different at 1-year follow-up (89.7% for FPCs vs 90.6% for VPs; P = .760). Mean number of devices per case was 18.2 ± 1.33 for FPCs and 4.1 ± 0.31 for VPs (P < .001). Three FPCs and 1 VP migrated to pulmonary vasculature approximately 3–6 months after the embolization procedure; all were retrieved without complications. The FPC group had a significantly longer fluoroscopy time (33.4 min ± 4.68 vs 19.5 min ± 6.14) and larger radiation dose (air kerma 948.0 mGy ± 248.45 vs 320.7 mGy ± 134.33) (all P < .001).Conclusions
Embolization for PCS resulted in pain relief in 90% of patients; clinical success was not affected by embolic device. VPs were associated with decreased fluoroscopy time and radiation dose. 相似文献11.
目的观察自拟中药汤剂与湿润烧伤膏联合治疗湿热型带状疱疹的临床效果。方法 将60例湿热型带状疱疹患者随机分为治疗组(30例)与对照组(30例)。治疗组给予口服自拟中药汤剂与外用湿润烧伤膏联合治疗;对照组给予口服自拟中药汤剂与外用阿昔洛韦乳膏联合治疗,观察两组治疗效果。结果治疗组总有效率为93.33%,对照组总有效率为53.34%,两组比较P0.05,差异有统计学意义。结论口服自拟中药汤剂与外用湿润烧伤膏联合治疗湿热型带状疱疹疗效较好,值得临床推广应用。 相似文献