• Thứ 2, 15/08/2022
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Ứng dụng phương pháp nút mạch can thiệp trong điều trị  ung thư biểu mô tế bào gan nguyên phát

Ứng dụng phương pháp nút mạch can thiệp trong điều trị ung thư biểu mô tế bào gan nguyên phát

03/04/2020 12:46:00 | 0 binh luận

Application TACE in primary hepato-cellular carcinoma summa ry Objectiv and methode: Transcatheter Arterial Chemo- Embolization(TACE) for 23 patients suffered from HCC (Hepato- Cellular Carcinoma) with 34 times of embolization. Results : The tumoral diameter is decreased after 1, 3 months but no statically significant. The intra-tumoral hypervascularity is changing corresponding to the AFP level and the Lipiodol deposition. Some serum biochemical index such as GOT, GPT and Bilirubin are decresed but not statistically significant. Postembolization syndrome appeared in short time. Mean survival time is 15,25 ± 9,04 months. Life standard quality is improved. Conclusion : TACE is a palliativ treatment method however it can offer good result such as prolonging survival time and improving life standard quality.
Kĩ thuật và kết quả bước đầu điều trị ung thư gan bằng đốt sóng cao tần tạ khoa chẩn đoán hình ảnh - Bệnh viện Bạch Mai - Hà Nội

Kĩ thuật và kết quả bước đầu điều trị ung thư gan bằng đốt sóng cao tần tạ khoa chẩn đoán hình ảnh - Bệnh viện Bạch Mai - Hà Nội

03/04/2020 11:15:46 | 0 binh luận

Technique and early outcome of RFA in treating HCC at the Radiology Department Bach Mai, Hanoi summa ry Hepatocellular carcinoma (HCC) management has become varied with different ways, which are applicable for different stages of the disease. Hepatic resection forms part of the conventional treatment for patients with the disease; however, the majority of primary liver cancers are not suitable for curative treatment at the time of diagnosis. Local curative therapy is getting more and more used. Radiofrequency ablation (RFA) is the first line indication for inoperable patients. Objective : To describe techniques and early outcomes of RFA in treating HCC patients at Radiology Department, Bach Mai Hospital, Hanoi. Method: descritive, retrospective, from 4/2010 to 12/2012 on 43 patients; image-guided techniques were used to treat the patients and evaluate results. Findings : male/female=35/8, average age = 54.5 (36-76), commonest tumor size is 3-5 cm (80%), majority of the patients had Child A (95%) and infected with HBV (98%); ultrasound imaged and cluster needles were performed on 77% and 80% respectively; post-intervention status was stable and without complication on 100% of the patients; 1-year and 2-year suvival rates were 95% and 88% correspondingly, of whom local recurrence appeared in two cases after five months and one case after one year. Conclusion : RFA in HCC management is safe and effective at the Radiology Department at Bach Mai Hospital, even in complicated cases.
Điều trị giả phình động mạch thắt lưng sau chấn thương bằng phương pháp can thiệp nội mạch

Điều trị giả phình động mạch thắt lưng sau chấn thương bằng phương pháp can thiệp nội mạch

03/04/2020 10:41:20 | 0 binh luận

Post-traumatic lumbar pseudo-aneurysm treatment by endovascular intervention SUMMARY Pseudo-aneurysm of the lumbar artery is a rare lesion at the abdominal injury though these arteries have small dimension and retro peritoneal localization. Ruprture of the aneurysm can infl uence to the patient life. Diagnostic imaging and deciding to early treatment play an important role.We present a case of the affection being treated sucessfully by endoluminal intervention.
Đánh giá hệ thống tuần hoàn bàng hệ ngoài gan trong điều trị ung thư biểu mô tế bào gan bằng nút hóa chất động mạch qua catheter

Đánh giá hệ thống tuần hoàn bàng hệ ngoài gan trong điều trị ung thư biểu mô tế bào gan bằng nút hóa chất động mạch qua catheter

03/04/2020 10:37:53 | 0 binh luận

Evaluation of extrahepatic colateral vessel supply in treatment of HCC by TACE SUMMARY Hepatocellular carcinoma (HCC) is a leading cause of morbidity and mortality, ranking fi fth for men and eighth for women as a source of primary malignancy. The highest incidences of HCC are found in sub-Saharan Africa and Eastern Asia, Southeastern Asia with incidence rates of 17.43 and 6.77 per 100,000 in men and women of developing countries compared with 8.71 and 2.86 per 100,000 in men and women of developed regions of the world [2],[6]. The three curative options of resection, liver transplantation, and percutaneous ablation compete as fi rst-line treatment modalities for early HCC, achieving 5-year survival rates of 50-70% [18]. At these advanced stages of HCC, arterial embolization techniques combined with intra-arterial chemotherapy has been shown to be an effective palliative therapy that can also improve patient survival [19],[20]. HCC chemoembolization is based on the fact that the normal liver parenchyma receives a dual blood supply from the hepatic artery and the portal vein, whereas HCCs are supplied exclusively by the hepatic artery. In practice, many HCCs are supplied by extrahepatic collateral arteries even when the hepatic artery is patent [13],[19]. Detect these extraheparic colateral vessel supply as well as ways in which to improve the effective and avoid complications of TACE of the collateral vessels.
Kết quả ban đầu can thiệp nội mạch điều trị hẹp tắc mạn tính động mạch vùng dưới gối

Kết quả ban đầu can thiệp nội mạch điều trị hẹp tắc mạn tính động mạch vùng dưới gối

03/04/2020 10:12:50 | 0 binh luận

Short-term results of endovascular intervention in the treatment below-the-knee chronic arterial occlusion SUMMARY Purpose : evaluation of short-term results of endovascular intervention in treatment of below-the-knee chronic arterial occlusion. Method and materials: Prospective studies, group of 32 patients with critical limb ischemia due to peripheral arterial diseases were admitted Bach Mai hospital from 9/2011 to 8/2012. The follow up mean times is 6.5 months. Results: 32 patients with 65 arteries were treated by endovascular intervention. Pre-procedure’s ABI is 0.64±0.19. The length of lesion is 171.6 ± 32.5 mm. There is 13.3 % retrograde arterial access at tibial arteries in combination with antergrade access at CFA. Subintimal angioplasty rate is 84.8%. The overall technical success rate is 81.5%. Post-procedure, the along arterial pain is 87.5% with mean duration is 4.5 days, the soft tissue edema rate because of arterial congestion is 30% with mean duration 7.5 days. The fi rst week post-procedure ABI is 0.84±0.22. In the follow up duration, the re-intervention is 9.2%, overall limb salvation is 87.5%. Conclusion : endovascular intervention of arterial chronic occlusion is minimal invasive, safety and effective in revascularization of BTK regions, it has important role in reducing the amputation rate of lower limbs.
Kết quả bước đầu ứng dụng angio CT trong can thiệp nội mạch tại Vinmec Time City

Kết quả bước đầu ứng dụng angio CT trong can thiệp nội mạch tại Vinmec Time City

17/03/2020 10:37:35 | 0 binh luận

The initial result of vascular interventional application with angio ct in vinmec times city SUMMARY Purpose : Evaluating the initial result of vascular interventional application with Angio-CT hybrid system in Vinmec Times City radiology department. Material and Method : From Nov 2018 to May 2019, we applied vascular intervention for 93 patients including TACE, SIRT for HCC; intraarterial chemotherapy for retinoblastoma; cerebral vascular intervention, bleeding GI intervention; uterine fibroid embolization and benign prostatic hypertrophy embolization, bronchial artery embolization… Result and discussion : Angio-CT hybrid system save time move patient between from CT rom to vascular intervention room, high-contrast resolution, large FOV, minimal artefacts due to motion or metals. Conclusion: Angio-CT hybrid system application in vascular interventional help us diagnosis and quickly make a vascular interventional decision, improve many techniques, increase accuracy and confidence when deciding to intervene, limit unwanted complications due to limitations on observation on DSA alone. Key words: Angio CT hybrid system, Angio CT in vascular interventional application.
Ứng dụng phương pháp chụp cắt lớp vi tính đa dãy lồng ngực liều thấp tại Trung tâm Điện quang Bệnh viện Bạch Mai, năm 2018

Ứng dụng phương pháp chụp cắt lớp vi tính đa dãy lồng ngực liều thấp tại Trung tâm Điện quang Bệnh viện Bạch Mai, năm 2018

18/12/2019 09:50:57 | 0 binh luận

Applicaton of lung low dose scan on msct system Bach Mai radiology center, 2018 SUMMARY Summary: Target (main point, purpose of this reseach); Standard dose CT ( SDCT) has been one of the most valuable techniques in term of diagnosing lung diseases. But it also have side effect that huge radiation dose is absorbed to patients body; In order to reduce this side effect is low dose CT scan (LDCT); LDCT help patients reduce radiation dose absorb to their body. Subject: 300 patients with SDCT scan: 120 kV, 87.5 - 140mAs; 300 patients with LDCT scan: 100 kV, 35-52.5 mAs. Hitachi CT 128 slices System. Evaluate image quality, dose information( CTDI vol, DLP, Effective dose) of two group Result : Effective dose: SDCT: 120kV, 87,5-140mAs and LDCT: 100kV, 35-52.5mAs => LDCT reduce 2,5 time compare to SDCT; Absorded dose CTDI vol of LDCT: 2,3 + - 0.5 mAs à reduce by 60% compare to SDCT (P<0,001); DLP of LDCT: 80+- 159.99 mGy.cm à reduce by 65% compare to SDCT ( P<0.001). Quality of image: both are the same and enough for diagnose Conclusion: Absorbed dose and effective dose of LDCT are reduce significantly. The image quality are still have enough value for diagnose. Key words : CT reduces the dose of rays; Low-dose chest CT; Pulmonary nodule; Risk factors for lung nodules.
Đánh giá hiệu quả can thiệp nội mạch trong điều trị phình mạch tạng sau chấn thương

Đánh giá hiệu quả can thiệp nội mạch trong điều trị phình mạch tạng sau chấn thương

17/12/2019 09:40:53 | 1 binh luận

To evaluate the effectiveness of endovascular intervention for treatment of traumatic visceral pseudoaneurysms SUMMARY Background: Visceral pseudoaneurysm was rare condition, its complication of bleeding led to severe clinical scenario, causing blood loss shock and death. Surgery was an invasive treatment and had high rate of morbidity and mortality; therefore, endovascular intervention has gradually becoming an alternative treatment nowadays. Objectives: To evaluate the safety and effectiveness of endovascular treatment in patients with traumatic visceral pseudoaneurysms. Materials and Methods : All patients were diagnosed of traumatic visceral pseudoaneurysm and treated by endovascular intervention at Cho Ray Hospital from October 2017 to February 2019. Results: Thirty (30) patients were enrolled in this study. Locations of pseudoaneurysm were as follows: hepatic arteries (22.2%), gastroduodenal arteries (5.6%), renal arteries (55.5%), splenic arteries (8.3%), superior mesenteric arteries (5.6%) and left gastric arteries (2.8%). The embolic agents included Histoacryl glue (NCBA) (6%), coils (82%), PVA particles + coils (6%) and gelfoam + coils (6%). 94.4% of pseudoaneurysms were completely embolized, and 90% of patients recovered of clinical status at discharge. No severve complications were reported and the most common complication was hematoma (5%) at puncture site. Conclusion : Endovascular treament is an effective and safe method in the management of traumatic visceral pseudoaneurysms. Keywords: traumatic visceral pseudoaneurysm, endovascular treatment, safety, effectiveness

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