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肝动脉栓塞治疗是目前肝癌重要的治疗手段之一,超选择性肝动脉插管是栓塞治疗的关键步骤。我们从1988年10月至1990年2月间行肝动脉插管62例,其中59例以治疗为目的同时进行动脉法数字减影血管造影(简称IADSA)检查,3例仅作诊断性IADSA检查。本组完成超选择性肝动脉插管61例,成功率98.4％。行肝固有动脉以远的超选择插管56例,实际完成52例,占92.9％。作者采用4种类型导管头,对6种常用置管技术进行详细描述。本组有5例出现血管内膜损伤,占8.0％.未见有具它并发症。
Transcatheter arterial embolization is one of the most important treatments for liver cancer. Superselective hepatic artery catheterization is a key step in embolization therapy. We performed hepatic arterial catheterization in 62 patients from October 1988 to February 1990. Among them, 59 patients underwent arterial digital subtraction angiography (IADSA) examination for the purpose of treatment. Three patients were diagnosed only with IADSA. . The group completed 61 cases of superselective hepatic artery catheterization with a success rate of 98.4%. Fifty-six cases of superselective catheterization were performed beyond the proper hepatic artery, and 52 cases were actually completed, accounting for 92.9%. The author used four types of catheter heads to describe in detail the six commonly used catheterization techniques. In this group there were 5 cases of intimal injury, accounting for 8.0%. No complications were seen.