DSA外周血管造影在婴幼儿中应用

Clinical application of peripheral angiography in infants.

目的介绍婴幼儿血管造影方法,分析血管造影在婴幼儿疾病诊治中的应用价值和安全性。方法临床、CT、MRI诊断为血管瘤,肝肾肿瘤及脑血管疾病共18例,行DSA血管造影术。结果蔓状血管瘤3例,毛细血管瘤1例,1例为深静脉的先天性回流障碍。肝母细胞瘤3例,肾胚胎瘤1例,肾横纹肌肉瘤1例,1例肝动静脉瘘。2例考虑为原始神经外胚层瘤(PNET)术前脑血管造影,1例为Galen静脉瘤,1例为Sturge-Weber综合征,2例为颅面部的动静脉瘘及动静脉畸形。结论婴幼儿血管造影是安全可靠的,有着广泛的临床应用价值。

Objective To evaluate the application and safety of angiography in infants. Methods Eighteen infants with diagnosis of clinics,CT and MRI as hemangioma, hepatic and renal tumor and cerebral vascular diseases were undertaken digital subtraction angiography（ DSA）. Results All the cases were found to have anomalous lesions including hemangioma racemosum in 3 cases, capillary hemangioma in 1, hepatoblastoma in 3, renal Wilm＇s tumor in 1, renal rhabdomyosarcoma in 1, liver arteriovenous fistula （AVF） in 1, Galenic arteriovenous malformation （AVM） in 1 ,Sturge-Weber Syndrome in 1, AVM OR AVF in the craniofacial region in 2 and pre-operation cerebral angiography of PNET in 2. Conclusions DSA in infants is safe and reliable with extensive clinical application. （J Intervent Radiol, 2005,14 ： 361-363. ）