An approach for acute disruption of large arteries in patients with advanced cervical cancer - Endoluminal balloon occlusion technique
An approach for acute disruption of large arteries in patients with advanced cervical cancer - Endoluminal balloon occlusion technique
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DOI：
10.1097/00000658-199801000-00019
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发表时间：
1998-01-01
影响因子：
9
通讯作者：
Mitsui, T
中科院分区：
文献类型：
--
作者：
Sakakibara, Y;Kuramoto, K;Mitsui, T
目的探讨颈动脉腔内球囊闭塞术治疗颈动脉突然中断的可行性，为颈动脉血管腔内球囊闭塞术治疗颈动脉突然中断提供理论依据。将双腔球囊导管从股动脉导入出血点。通过对侧颈动脉注入造影剂，可进行颅内交叉充盈的血管造影检查，并可在单侧颈动脉闭塞的情况下直接确认意识水平。无神经系统并发症发生。在随访期间（范围5-32个月）出血没有复发。结论：虽然这方面的经验有限，但表明通过腔内球囊闭塞术控制颈部动脉出血的手术干预可以防止过度出血，降低中枢神经系统损伤的风险，并改善这些危重患者的预后。
Objective To test the feasibility of an intraluminal balloon occlusion technique for the control of sudden arterial disruption from cervical branches in patients with advanced malignancy.Background A sudden disruption of large cervical arteries is a devastating complication of advanced cervical malignancy and local infection.Methods Three patients with this complication underwent endoluminal balloon occlusion before surgical management. A double-lumen balloon catheter was introduced from the femoral artery to the bleeding point. Angiographic examination of the intracranial cross-filling could be performed by the injection of contrast medium from the opposite carotid artery, and consciousness levels could be directly confirmed under unilateral carotid occlusion.Results Resection of the carotid or innominate artery was safely performed in ail the patients. No neurologic complications occurred. Bleeding did not recur during follow-up (range 5-32 months)Conclusions This experience, although limited, suggests that surgical intervention to control cervical arterial bleeding with intraluminal balloon occlusion prevents excessive bleeding, decreases the risk of-damage to the central nervous system, and improves the outcome in these critically ill patients.