支气管动脉畸形的DSA表现及栓塞治疗 |
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引用本文: | 王执民,吴智群,王义清.支气管动脉畸形的DSA表现及栓塞治疗[J].中华放射学杂志,1999,33(10):699-701. |
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作者姓名: | 王执民 吴智群 王义清 |
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作者单位: | 第四军医大学唐都医院介入放射科 |
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摘 要: | 目的 探讨支气管动脉畸形大咯血的DSA表现,观察栓塞治疗的疗效。方法 采用Seldinger技术行股动脉穿刺插管,将C3导管选择性插入支气管动脉,高压注入38%泛影葡胺,第次总量6 ̄8ml,0.5 ̄1.0ml/s,行正位DSA,分析支气管动脉畸形的DSA表现,确诊后用对比剂稀释的明胶海绵粉进行栓塞,随访栓塞疗效。结果 ⑴DSA表现:6例患者两侧或单侧支气管动脉主干或(和)分支示增粗、扩张、扭曲、粗
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关 键 词: | 支气管动脉畸形 DSA 血管道影 栓塞疗法 咯血 |
The DSA manifestations of bronchial artery malformation and its embolization therapy |
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Abstract: | Objective To study the manifestations of DSAof bronchial artery andthe clinical effectof embolization- Methods Transfemoral Seldingertechnique was used in all 6 cases using a cobra C3 catheter selectivelyinto bronchialartery- Theamountofcontrast medium injectedrangedfrom 5to8 mlperinjection,ata rateof0-5-1-0 ml/s- Gelfoam powder was used for embolization- Results Theright and(or) left bronchial artery and(or)itsbranchesshowed enlargement,twisting,irregulardiameter,and extravsation ofcontrast medium wasobserved because of bleeding- One case had a left bronchial artery malformation with a artery artery artery venousfistula- 5/6 patients weretreated with BAE,bleeding stopped after BAE- Bleedingrecurredin onepatient after2 month,DSAshow partialrecanalization ofbronchialartery- Afterthesecondembolization,the bleeding was controlled-5/6 patients werefollowed for 6 years,5 years,3 years,2 years,and 6 months respectively,without recurrenceofhemoptysis,theclinicaleffectwasgood- Conclusions DSAisthe methodofchoiceto diagnosisthe malformation ofbronchialartery -Theclinicaleffectof BAEwith gelfoam powderis good withlesscomplications- |
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Keywords: | Bronchialartery Hemoptysis Angiography digitalsubtraction Embolization therapeutic |
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