Clinical application of transcatheter arterial methylene blue angiography in the localization of lower gastrointestinal arterial bleeding
10.3969/j.issn.1008-794X.2023.12.014
- VernacularTitle:经导管动脉美蓝造影在下消化道动脉出血定位中的临床应用
- Author:
Jiayun LIU
1
;
Xuefeng KAN
;
Guilin ZHANG
;
Xinyi LI
;
Fu XIONG
;
Kun QIAN
;
Chuansheng ZHENG
Author Information
1. 430022 湖北武汉 华中科技大学同济医学院附属协和医院放射科
- Keywords:
lower gastrointestinal tract artery bleeding;
transcatheter;
methylene blue injection;
arteriography;
localization
- From:
Journal of Interventional Radiology
2023;32(12):1230-1232
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical application value of transcatheter arterial methylene blue angiography in the localization of lower gastrointestinal arterial bleeding.Methods Ten patients with lower gastrointestinal arterial bleeding received interventional celiac artery angiography.After the bleeding responsible arteries were identified,a microcatheter was super-selectively placed in the bleeding responsible artery.During surgical procedure,the methylene blue solution was injected through the microcatheter to display the bleeding segment of the intestinal tract,providing precise localization of the bleeding intestinal segment for surgical resection.Results Transcatheter arterial methylene blue angiography could clearly display the bleeding segment of the intestinal tract.The bleeding segments of the intestinal tract in the 10 patients were quickly and accurately removed.After surgery,the gastrointestinal bleeding stopped,and no surgery-related complications occurred.Conclusion Transcatheter arterial methylene blue angiography can accurately detect the arterial bleeding segment of the lower gastrointestinal tract,which provides precise localization for quickly removing the bleeding segment of intestinal tract,therefor,this technique is worthy of widespread clinical application.(J Intervent Radiol,2023,32:1230-1232)