双腔微球囊导管在血管介入治疗中的应用  

The application of double lumen microballoon catheter in vascular interventional procedures

作　　者：李龙 LI Long(Department of Interventional Radiology and Endovascular Surgery,Guangzhou Municipal Twelfth People's Hospital,Guangzhou,Guangdong Province 510620,China)

机构地区：[1]广州市第十二人民医院微创介入血管外科,广东广州5106200

出　　处：《介入放射学杂志》2024年第8期928-934,共7页Journal of Interventional Radiology

摘　　要：管径在3F以下的双腔微球囊导管可经迂曲、细小或解剖结构复杂的血管引入至靶病变,临时阻断血流以改变局部血流力学,或辅助实施液体栓塞剂或弹簧圈栓塞术,以提高介入治疗的临床效果和安全性。本文描述了最新双腔微球囊导管的产品结构,着重讨论微球囊阻断下经动脉栓塞术在肝癌介入治疗中的临床应用,评价微球囊辅助下液体栓塞术治疗富血供病变和血管性疾病,以及微球囊辅助下弹簧圈栓塞术治疗内脏动脉瘤的临床价值,介绍双腔微球囊导管在球囊阻断逆行经静脉闭塞术治疗胃静脉曲张中的特殊应用,评估微球囊阻断技术提高前列腺动脉栓塞术安全性的应用前景。The double lumen microballoon catheter with a diameter of less than 3F can pass through tortuous,fine or anatomically complex blood vessels into the target lesions,which can temporarily obstruct the blood flow to alter the local hemodynamics or to assist the performance of interventional embolization using liquid agent or spring coils,and improve the clinical efficacy and safety of interventional therapy.This article describes the product structure of the up-to-date double lumen microballoon catheters in detail,focusing on the clinical application of microballoon-occluded transarterial embolization in interventional therapy of liver cancer,the assessment of the clinical value of the microballoon-assisted liquid embolization for hypervascular lesions and vascular disorders,the microballoon-assisted coil embolization for visceral artery aneurysms,the special application of double lumen microballoon catheters in balloon-occluded retrograde transvenous embolization for gastric varices,and the evaluation of microballoon-occluded technique in improving the safety of prostatic artery embolization and its application prospects.

关 键 词：微球囊导管 球囊阻断 治疗性栓塞 外周血管介入 介入放射学 

分 类 号：R197.39[医药卫生—卫生事业管理]