[1]贾中芝,赵 添,王斯妮,等.钇-90微球治疗肝脏恶性肿瘤的术前肝血管评估 ——钇-90微球放射栓塞系列回顾(三) [J].介入放射学杂志,2017,(12):1151-1159.
 JIA Zhongzhi,ZHAO Tian,WANG Sini,et al.Pretherapeutic aassessment of the hepatic arterial vasculature for hepatic malignancy with yttrium- 90 radioembolization. A series review of radioembolization with 90Y microspheres (part Ⅲ)[J].journal interventional radiology,2017,(12):1151-1159.
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钇-90微球治疗肝脏恶性肿瘤的术前肝血管评估 ——钇-90微球放射栓塞系列回顾(三)
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《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2017年12期
页码:
1151-1159
栏目:
讲 座
出版日期:
2017-12-25

文章信息/Info

Title:
Pretherapeutic aassessment of the hepatic arterial vasculature for hepatic malignancy with yttrium- 90 radioembolization. A series review of radioembolization with 90Y microspheres (part Ⅲ)
作者:
贾中芝 赵 添 王斯妮 郑丽丽 谢双双 王维平
Author(s):
JIA Zhongzhi ZHAO Tian WANG Sini ZHENG Lili XIE Shuangshuang WANG Weiping.
Department of Interventional Radiology, No.2 People’s Hospital of Changzhou, Nanjing Medical University, Changzhou, Jiangsu Province 213003, China
关键词:
【关键词】 钇- 90 放射栓塞 动脉造影 栓塞
文献标志码:
A
摘要:
【摘要】 钇-90(90Y)放射栓塞的潜在风险是在灌注微球过程中意外发生非靶血管栓塞。因此,术前采用肝动脉造影的方法来仔细确认有无潜在风险的动脉和血管交通尤其重要。完整的术前肝血管评估包括选择性肝动脉造影、预防性栓塞有导致90Y微球异位栓塞风险的动脉和确定继发于肿瘤病理性动静脉瘘产生的肝肺分流。本文将讨论90Y栓塞治疗过程中有可能引起非靶血管栓塞的相关动脉解剖以及如何评估这些血管的风险,预防非靶血管栓塞发生的方法。

参考文献/References:

[1] Bilbao JI. Radioembolization and the cystic artery[J]. J Vasc Interv Radiol, 2014, 25: 1724- 1726.
[2] Powerski M, Busse A, Seidensticker M, et al. Prophylactic embolization of the cystic artery prior to radioembolization of liver malignancies: an evaluation of necessity[J]. Cardiovasc Intervent Radiol, 2015, 38: 678- 684.
[3] Choi JW, Yoo MY, Kim HC, et al. Prophylactic temporary occlusion of the cystic artery using a fibered detachable coil during 90Y radioembolization[J]. Cardiovasc Intervent Radiol, 2017, 40: 1624- 1630.
[4] Ward TJ, Louie JD, Sze DY. Yttrium- 90 radioembolization with resin microspheres without routine embolization of the gastroduodenal artery[J]. J Vasc Interv Radiol, 2017, 28: 246- 253.
[5] Song SY, Chung JW, Lim HG, et al. Nonhepatic arteries originating from the hepatic arteries: angiographic analysis in 250 patients[J]. J Vasc Interv Radiol, 2006, 17: 461- 469.
[6] 陶 然, 钟震亚, 田国忠, 等. 食管各段供血动脉的分支与吻合的解剖学观察[J]. 解剖学研究, 2009, 31: 266- 269.
[7] Zhou WZ, Shi HB, Liu S, et al. Arterioportal shunts in patients with hepatocellular carcinoma treated using ethanol- soaked gelatin sponge: therapeutic effects and prognostic factors[J]. J Vasc Interv Radiol, 2015, 26: 223- 230.
[8] 于长鹿, 吴 天, 祁 兵, 等. 介入治疗巨块型肝癌伴肺静脉瘘一例[J]. 临床放射学杂志, 2006, 25: 1054.
[9] Fischman AM, Ward TJ, Patel RS, et al. Prospective, randomized study of coil embolization versus Surefire infusion system during yttrium- 90 radioembolization with resin microspheres[J]. J Vasc Interv Radiol, 2014, 25: 1709- 1716.
[10] Morshedi MM, Bauman M, Rose SC, et al. Yttrium- 90 resin microsphere radioembolization using an antireflux catheter: an alternative to traditional coil embolization for nontarget protection[J]. Cardiovasc Intervent Radiol, 2015, 38: 381- 388.
[11] Shi HB, Yang ZQ, Liu S, et al. Transarterial embolization with cyanoacrylate for severe arterioportal shunt complicated by hepatocellular carcinoma[J]. Cardiovasc Intervent Radiol, 2013, 36: 412- 421.
[12] Abdelmaksoud MH, Hwang GL, Louie JD, et al. Development of new hepaticoenteric collateral pathways after hepatic arterial skeletonization in preparation for yttrium- 90 radioembolization[J]. J Vasc Interv Radiol, 2010, 21: 1385- 1395.

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备注/Memo

备注/Memo:
(收稿日期:2017-03-20)
(本文编辑:俞瑞纲)
更新日期/Last Update: 2017-12-24