介入放射学历史.ppt

Esophageal cancer Graft-stent esophagus fistula Graft-stent：通+堵 Bronchtracheal Ca. stenting stenosis stent stenting Ca. of sigmoid colon. ileus tumor Interventional Radiology in Medicine Surgery Internal Medicine Radiology IR -What is Interventional Radiology? -What can IR do? Summary 原为医学影像科（放射科）的介入组 2003年底“独立”，成立介入血管外科 现有医生8名，护士15名，技术员2名，病床数25张 工作内容： 1. 肿瘤的介入治疗 2. 血管病的介入治疗 3. 血管病的外科手术治疗 门诊时间：周一—五下午 联系我们： 二部导管室 Ext 2622/2633 三部病房64004280 (注：在不久的将来，介入病房将从第三住院部迁至 第二住院部） 介入血管外科简介 Thanks Budd-Chiari syndrome: HV occlusion. Stenting HV stent Budd-Chiari syndrome: IVC occlusion. Stenting Balloon dilatation (PTA) stenting Stenosis of transplanted HV. PTA alone. balloon stenosis HV Immediately after PTA 3-m later Stenosis of pulmonary a.. Invasive thymoma. stenting stenosis TIPS Transjugular Intrahepatic Portosystemic Shunt (TIPS) TIPS: Decrease portal pressure --Portal HT --Ascites Retrieval of foreign body—取 Vascular IR Chest X-ray Venous embolization—堵 Vascular IR Sketch of percutaneous transhepatic occlusion of gastric varices varices 61M,hepatitis B cirrhosis. Gastric varices. endoscopy CT varices PV varices SV Pre-CT Post-CT IVC filter—其他 Vascular IR IVC Filter: Prevention of pulmonary arterial embolism (PAE) from deep venous thrombus (DVT) IVC filter IVC filters with different design Vascular malformation of surface--sclerosing Nonvascular IR Dilatation/recanalization—通 Esophageal stenosis：Balloon dilatation pre post Infertility caused by occlusion of Fallopian tube occlusion Recanalization of rt. Recanalization of lt. Obstructive jaundice External draining draining catheter Internal draining Obstructive jaundice Stenting—通 Nonvascular IR stenting Obstructive jaundice stent Pre-stenting post-stenting Follow-up CT Follow-up CT Open operation Minimally invasive: Small inguinal incision 43M, cough and hemoptysis Enhanced CT Plain CT Enhanced-CT D