小児循環器領域におけるコイル塞栓術:血管解剖に合わせた塞栓術Coil Embolization in Pediatric Cardiology: Tailored Treatment for Vascular Anatomy
九州大学病院 小児科Department of Pediatrics, Kyushu University Hospital ◇ Fukuoka, Japan
小児循環器領域において,コイルを中心とした血管塞栓術は多く行われており,近年のデバイスの開発により適応疾患は拡大してきている.主に先天性心疾患の多種多様な解剖の血管に対応する必要があり,血管解剖ごとにリスクや注意点を考えながら治療戦略を立てるのが重要である.本稿では基本的な手技から注意すべき血管解剖への塞栓方法について当施設の考え方を含めて解説する.
Vascular embolization, specifically coil embolization, is performed widely in pediatric cardiology. Indications for embolization have been increasing because of the development of devices in recent years. Provided the necessity to embolize diverse anatomic vessels in congenital heart disease, it is crtitical to carefully consider the risks and precautions associated with each vascular anatomy when developing a treatment strategy. This article describes the basic techniques and special considerations for vascular anatomy embolization that include our own approaches.
Key words: coil embolization; AVP; coil in plug; stop flow technique; microcoil
© 2023 特定非営利活動法人日本小児循環器学会© 2023 Japanese Society of Pediatric Cardiology and Cardiac Surgery
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