5F TIG导管在主动脉弓下壁开口的支气管动脉栓塞术中的应用  

Application of 5F TIG catheter in bronchial arterial embolization with the opening in the inferior wall of the aortic arch

作　　者：章旭 田强 贺中云 陈晨 余勇 ZHANG Xu;TIAN Qiang;HE Zhong-yun;CHEN Chen;YU Yong(Department of Radiology,The Affiliated No.331 Hospital of Zhuzhou,Changsha Medical University,Hunan 412002,China)

机构地区：[1]湖南省株洲市三三一医院放射科

出　　处：《影像诊断与介入放射学》2019年第5期340-344,共5页Diagnostic Imaging & Interventional Radiology

摘　　要：目的探讨5F TIG多功能导管在主动脉弓下壁开口的支气管动脉栓塞术中的应用价值。方法选择经股动脉入路行支气管动脉栓塞术31例,根据术前支气管动脉CTA检查,分析影像资料,均可见主动脉弓下壁开口的迷走支气管动脉,在介入治疗中分别选用5F TIG导管或非TIG导管(Corbra导管、RLG导管、Simmen导管、Yashiro导管),完成31支主动脉弓下壁开口的支气管动脉栓塞治疗,根据术中选用导管类型分为TIG组(n=15)和非TIG组(n=16)。比较两组手术操作成功率、X线透视时间、手术操作时间及疗效。结果TIG组和非TIG组完成主动脉弓下壁开口支气管动脉栓塞治疗成功率均为100%,差异无统计学意义(P>0.05),TIG组平均X线透视时间[(3.67±5.57)min]和手术操作时间[(9.17±7.03)min]明显少于非TIG组[(12.83±8.3)min和(20.33±9.22)min](P<0.01)。结论5F TIG造影导管可减少导管交换次数,节省耗材,缩短操作时间、降低X射线辐射剂量的优势,在主动脉弓下壁开口责任支气管动脉栓塞治疗时可作为优先选择。Objective To investigate the value of 5F TIG multifunctional catheter in bronchial arterial embolization(BAE)with the vagus bronchial artery opening in the inferior wall of the aortic arch.Methods Preoperative bronchial artery CT angiogram of 31 patients who underwent transfemoral artery BAE showed openings of the vagus bronchial arteries in the inferior walls of the aortic arches.The success rate,fluoroscopy time,operation time and curative effect of the BAE were compared between the groups using 5F TIG(15)and non-TIG(16)including Corbra,RLG,Simmen,or Yashiro catheters.Results The success rate of BAE in the inferior wall of the aortic arch was 100%in both the TIG and non-TIG groups without significant difference(P>0.05).The average fluoroscopy and operation time in the TIG group was significantly shorter than that in the non-TIG group(P<0.01).Conclusion Use of 5F TIG angiographic catheter for BAE with the vessel opening in the inferior wall of the aortic arch can reduce the number of catheter exchanges,use of consumable materials,operation time,and radiation exposure.

关 键 词：支气管动脉 栓塞 冠状动脉共用型造影导管 主动脉弓 

分 类 号：R73[医药卫生—肿瘤]