[1]张 林,付金鑫,宋 鹏,等.Habib VesOpen消融导管治疗小型猪模拟门静脉癌栓的安全性研究[J].介入放射学杂志,2015,(06):515-519.
 ZHANG Lin,FU Jin- xin,SONG Peng,et al.The safety of Habib VesOpen bipolar radiofrequency ablation catheter used in the treatment of portal vein tumor thrombus: an experimental study in miniature pig models[J].journal interventional radiology,2015,(06):515-519.
点击复制

Habib VesOpen消融导管治疗小型猪模拟门静脉癌栓的安全性研究 ()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
期数:
2015年06期
页码:
515-519
栏目:
实验研究
出版日期:
2015-06-25

文章信息/Info

Title:
The safety of Habib VesOpen bipolar radiofrequency ablation catheter used in the treatment of portal vein tumor thrombus: an experimental study in miniature pig models
作者:
张 林 付金鑫 宋 鹏 袁 凯 阎洁羽 段 峰 王茂强 刘凤永
Author(s):
ZHANG Lin FU Jin- xin SONG Peng YUAN Kai YAN Jie- yu DUAN Feng WANG Mao- qiang LIU Feng- yong
Department of Interventional Radiology, Chinese PLA General Hospital, Beijing 100853, China
关键词:
【关键词】 门静脉癌栓 血栓 射频消融 小型猪 数字减影血管造影
文献标志码:
A
摘要:
【摘要】 目的 探索射频消融(RFA)导管治疗门静脉癌栓(PVTT)的安全性。方法 将10头实验小型猪分为3组:A组(n=6)直接行正常门静脉RFA治疗;B组(n=2)先行门静脉球囊封堵,然后行门静脉新鲜血栓RFA治疗;C组(n=2)先建立PVTT模型,待门静脉血栓机化后行门静脉RFA治疗。术后1、3、4周作MRI检查,4周后处死动物作病理学检查。结果 A组动物在功率5 W条件下接受RFA治疗0.6~3.6 min,MRI检查及1个月后病理学检查均未发现明确异常。B组动物RFA后MRI检查提示门静脉区损伤较A组明显,术后1、3、4周内膜MRI检查提示门静脉水肿逐渐减轻;术后1个月病理学检查证实邻近肝组织损伤严重。C组在功率7 W条件下接受RFA治疗1.5 min,术后MRI检查未见消融区明显水肿,病理学检查可见机化的血栓坏死、血管内皮细胞受损。结论 采用Habib VesOpen双极RFA导管治疗PVTT,应根据PVTT严重程度选择合适的RFA功率与时间。PVTT较轻时采用大功率、短时间RFA可能较安全,PVTT较重时改用小功率、长时间RFA更为安全可靠。

参考文献/References:

[1] Steel AW, Postgate AJ, Khorsandi S, et al. Endoscopically applied radiofrequency ablation appears to be safe in the treatment of malignant biliary obstruction[J]. Gastrointest Endosc, 2011, 73: 149- 153.
[2] Pai M, Valek V, Tomas A, et al. Percutaneous intraductal radiofrequency ablation for clearance of occluded metal stent in malignant biliary obstruction: feasibility and early results[J]. Cardiovasc Intervent Radiol, 2014, 37: 235- 240.
[3] 崔 宁, 李晓群. 经皮经肝双极射频消融导管恶性梗阻性黄疸20例[J]. 介入放射学杂志, 2014, 8: 693- 697.
[4] 鲁 东, 吕维富, 肖景坤, 等. 经皮肝穿刺胆道腔内射频消融联合支架植入治疗恶性梗阻性黄疸(附2例报告)[J]. 介入放射学杂志, 2014, 23: 593- 596.
[5] 葛智儒, 王乐民, 徐文俊, 等. 实验性肺栓塞血栓演变及其意义[J]. 中国医药导刊, 2005, 7: 374- 375.
[6] 杨 军, 奚九一. 静脉血栓早期机化阶段动物模型的建立[J].中国中医基础医学杂志, 2005, 11: 199- 201.
[7] 宋 鹏, 王茂强, 段留新, 等. 肠系膜上静脉-门静脉血栓动物模型的建立[J]. 中华消化外科杂志, 2009, 8: 463- 465.
[8] Biolato M, Marrone G, Racco S, et al. Transarterial chemoem- bolization (TACE) for unresectable HCC: a new life begins?[J]. Eur Rev Med Pharmacol Sci, 2010, 14: 356- 362.
[9] 张一飞, 王配军, 李文春, 等. 人与猪肝门静脉壁的细胞核密度的形态定量比较研究[J]. 解剖学研究, 2005, 27: 126- 128.

相似文献/References:

[1]李宝民,张纪,尹岭,等.多发性脑静脉和静脉窦血栓的诊断和溶栓治疗[J].介入放射学杂志,2000,(03):135.
[2]梁俊生,贺能树,吴胜勇,等.川芎嗪对犬血管成形术局部血栓形成的影响[J].介入放射学杂志,1997,(04):216.
[3]祖茂衡,徐浩,顾玉明,等.血管内支架放置治疗下腔静脉闭塞伴血栓形成[J].介入放射学杂志,1995,(04):195.
[4]祁兴顺,韩国宏,樊代明.经颈静脉肝内门体分流术治疗门静脉血栓的现状[J].介入放射学杂志,2010,(11):916.
 QI Xing-shun,HAN Guo-hong,FAN Dai-ming.Transjugular intrahepatic portosystemic shunt for the treatment of portal vein thrombus: its current status[J].journal interventional radiology,2010,(06):916.
[5]宋进华,顾建平,楼文胜,等. 急性动静脉内瘘血栓形成的置管溶栓治疗[J].介入放射学杂志,2012,(04):284.
 ,,et al.Transcatheter thrombolysis treatment for acute thrombosis in arteriovenous fistulas in hemodialysis patients [J].journal interventional radiology,2012,(06):284.
[6]邵国良,李焕祥,韩苏阳,等. 上腔静脉可回收滤器的置入六例[J].介入放射学杂志,2011,(12):993.
 SHAO Guo-liang,LI Huan-xiang,HAN Su-yang,et al. The implantation of retrievable superior vena cava filter report of 6 cases[J].journal interventional radiology,2011,(06):993.
[7]田红岸,赵 卫,易根发. 动脉灌注替罗非班在处理颅内动脉瘤栓塞术中急性血栓栓塞的研究[J].介入放射学杂志,2012,(09):718.
 TIAN Hong- an,ZHAO Wei,YI Geng-fa.. Application of intra- arterial infusion of tirofiban in dealing with acute thromboembolism occurred during embolization therapy for intracranial aneurysms: a preliminary study[J].journal interventional radiology,2012,(06):718.
[8]徐新建,徐 浩,成德雷,等. 布-加综合征合并下腔静脉血栓形成的磁共振诊断[J].介入放射学杂志,2013,(05):372.
 XU Xin? jian,XU Hao,CHENG De? lei,et al. Magnetic resonance imaging diagnosis of Budd?蛳 Chiari syndrome associated with inferior vena cava thrombosis[J].journal interventional radiology,2013,(06):372.
[9]马 青,江 旭,杨朝爱,等.外伤后肝包膜下胆汁瘤合并肺动脉血栓一例[J].介入放射学杂志,2014,(12):1117.
 MA Qing,JIANG Xu,YANG Chao ai,et al.Post traumatic subcapsular biloma of the liver complicated by pulmonary thrombus: report of one case[J].journal interventional radiology,2014,(06):1117.
[10]刘 超,张庆辉,吴 刚,等.肝素诱发血小板减少症1例[J].介入放射学杂志,2016,(02):133.
 LIU Chao,ZHANG Qing- hui,WU Gang,et al.Heparin- induced thrombocytopenia: report of one case[J].journal interventional radiology,2016,(06):133.

备注/Memo

备注/Memo:
(收稿日期:2014 -12 -15)
(本文编辑:边 佶)
更新日期/Last Update: 2015-06-24