FIELD: medicine.
SUBSTANCE: invention relates to medicine, in particular to interventional radiology. Selective catheterization of the inferior mesenteric artery is performed and recurrent arterioportography is performed with an assessment of angioarchitectonics, determination of the localization of the rectal tumor and search for the source of bleeding. Then superselective catheterization of the superior rectal artery is performed using a hydrophilic catheter and a conductor. After that, superselective embolization of the branches of the upper rectal artery supplying blood to the rectal tumor is carried out according to the “sandwich” method using polymer saturated microspheres “Sphere-Spectrum” with a diameter of 300-500 microns and metal spirals with polymer pile. At the same time, 50 mg of oxaliplatin on a 5% glucose solution is used as a chemotherapeutic drug for saturation, and embolization with microspheres is performed until the blood flow in the branches of the upper rectal artery stops. After that, metal spirals with polymer pile are implanted into the trunk of the upper rectal artery.
EFFECT: method avoids palliative surgical interventions, is a minimally invasive method for stopping bleeding from unresectable tumors of the rectum and is accompanied by a minimum number of complications.
1 cl, 1 ex
Title | Year | Author | Number |
---|---|---|---|
METHOD OF ENDOVASCULAR THERAPY OF LOCALLY ADVANCED RECTAL CANCER COMPLICATED BY COLONIC OBSTRUCTION | 2011 |
|
RU2469658C2 |
METHOD FOR HEMOSTASIS IN BLEEDING FROM A TUMOUR IN THE HEPATO-PANCREATO-BILIARY REGION, ACCOMPANIED BY HAEMOBILIA | 2021 |
|
RU2771073C1 |
METHOD FOR ENDOVASCULAR TREATMENT OF CHRONIC HEMORRHOIDS BY LIQUID EMBOLIC MATERIAL | 2015 |
|
RU2624152C2 |
METHOD OF TREATING BLEEDING IN PATIENTS WITH POST-RADIATION HEMORRHAGIC RECTITIS | 2017 |
|
RU2681505C2 |
METHOD FOR RADICAL TREATMENT OF PATIENTS WITH METASTATIC LIVER TUMORS | 2022 |
|
RU2804994C2 |
METHOD OF ENDOVASCULAR EMBOLIZATION OF ARTERIES IN GASTROINTESTINAL HAEMORRHAGE AND WOUNDS OF PARENCHYMAL ORGANS | 2018 |
|
RU2716634C1 |
METHOD FOR HEMORRHAGE CONTROL IN PATIENTS WITH POSTRADIATION HEMORRHAGIC RECTITIS | 2019 |
|
RU2722348C2 |
METHOD OF ENDOVASCULAR EMBOLIZATION OF THE INTERNAL ILIAC ARTERY IN PATIENTS WITH NEOPLASMS OF SMALL PELVIS | 2014 |
|
RU2576092C1 |
METHOD OF X-RAY ENDOVASCULAR EMBOLIZATION OF VISCERAL BRANCHES THROUGH THE ARTERIES OF UPPER LIMBS BY THE HEADHUNTER CATHETER FOR DIFFERENT GASTROINTESTINAL TRACT PATHOLOGY | 2016 |
|
RU2652743C1 |
METHOD OF TREATMENT OF INOPERABLE SQUAMOUS CELL CARCINOMA OF HEAD AND NECK | 2023 |
|
RU2806512C1 |
Authors
Dates
2022-05-11—Published
2021-06-01—Filed