1.Clinical features and treatment of cryptogenic hemoptysis
Jinlin TIAN ; Yahui DU ; Wei WANG ; Yunsong LI ; Yuehui GUO ; Chunlei LI ; Shuofei CHEN
Chinese Journal of Interventional Imaging and Therapy 2011;08(5):412-415
ObjectiveTo discuss the incidence,treatment and effect of cryptogenic hemoptysis (CH).MethodsPatients with CH were selected from 231 patients with hemoptysis according to clinical evaluation,chest radiography,fiberoptic bronchoscopy and CT scan,and the clinical data and treatment methods were retrospectively analyzed.ResultsFifty-three of 231 patients referred for CH,the incidence of CH was 22.94 % (53/231),of which 45 (45/53,84.91% ) received internal conservative treatment and 8 (8/53,15.09%) received bronchial artery embolization (BAE).High resolution CT (HRCT) showed ground-glass opacities in 20 CH patients after hemoptysis.Bronchial arteriography showed abnormalities,including arterial enlargement and localized hypervascularity in 8 patients and systemic to pulmonary shunting in 3 patients.No recurrence of hemoptysis was observed during 1 to 8-year follow-up.ConclusionBleeding can be controlled in most of CH patients by internal conservative treatment,only a few patients with massive hemoptysis need BAE,and both treatments have good short and long term results.
2.Protective effect of sulodexide on ox-LDL induced damage to human umbilical vein endothelial cells and its mechanism
Kejia KAN ; Haozhe QI ; Shuofei YANG ; Qihong NI ; Xiangjiang GUO ; Jiaquan CHEN ; Lan ZHANG
Journal of Interventional Radiology 2017;26(6):539-543
Objective To investigate the protective effect of sulodexide (SDX) on oxidized low density lipoprotein (ox-LDL) induced damage to human umbilical vein endothelial cell (HUVEC),and to discuss its mechanism.Methods By using CCK-8 method,the ox-LDL intervention HUVEC dose and the concentration of SDX were determined.The reactive oxygen species (ROS) assay kit was used to verify the protective effect of SDX on HUVEC.Real time fluorescent quantitation-polymerase chain reaction (RT-PCR) was employed to test the endothelial nitric oxide synthase (eNOS) and caveolin-1 mRNA expression;immunoblot assay was adopted to check the protein expression of phosphorylated eNOS (p-eNOS) and caveolin-1.The ability of cell migration was assessed by Transwell assay.Results Stimulated by 100 μg/ml concentration of ox-LDL,the cell viability of HUVEC decreased significantly (P<0.01).After adding 125 LRU/ml concentration of LDX,the cell viability of HUVEC was remarkably improved (P<0.01) and the production of ROS was strikingly decreased (P<0.01).SDX could down-regulate the expression of caveolin-1 (P<0.05) and up-regulate the expression of eNOS mRNA and p-eNOS (P<0.05) for ox-LDL-damaged HUVEC,and markedly improve the migration ability of damaged HUVEC (P<0.01).Conclusion By regulating the caveolin-1/eNOS signal route,SDX can improve impaired HUVEC cell migration ability,thus,to protect endothelial cells.
3.Analysis of clinical efficacy and safety of endovascular technique in treatmenting complex renal artery aneurysms
Dongzhe HUANG ; Liang CHEN ; Shuofei YANG ; Xiangjiang GUO ; Qihong NI ; Jiaquan CHEN ; Weilun WANG ; Lan ZHANG ; Guanhua XUE
International Journal of Surgery 2022;49(7):452-456
Objective:To analyze the clinical efficacy and safety of endoluminal treatment of complex renal artery aneurysm (RAA).Methods:The clinical data and follow-up results of 19 patients with complex RAA admitted to Renji Hospital, Shanghai Jiaotong University School of Medicine from November 2014 to September 2021 were retrospectively analyzed. Two patients were treated with simple spring coil embolization into the aneurysmal artery, 14 patients were treated with simple spring coil embolization of the aneurysmal cavity, and 3 patients were treated with stent-assisted + spring coil embolization technique. Based on the location of the aneurysm, RAA were classified into type Ⅰ, Ⅱ, and Ⅲ. 7 patients with type Ⅰ, 10 patients with type Ⅱ, and 2 patients with type Ⅲ were studied. Variance analysis was used to compare the differences in glomerular filtration rate(GFR) of the affected side when the tumor was located at different locations, and Pearson was used to analyze the correlation between the number of coils implanted and the size of the tumor and GFR.Results:Ten of the 19 patients who were underwent successful endoluminal intervention. The average size of the patients′ aneurysms was (20.89±6.65) mm, and the average number of spring coils implanted was 8.22±3.08. The preoperative and postoperative serum creatinine were in the normal range, and no RAA tumor enlargement or recurrence was found during the follow-up period. The postoperative GFR was abnormal in patients with type Ⅰ, type Ⅱ, and type Ⅲ renal aneurysms, and the mean GFR value differed among the three types of patients( P=0.003). There was a negative correlation between the postoperative GFR values of the affected kidney and the number of spring coils implanted ( P=0.047), and no significant relationship between GFR and aneurysm size. Conclusion:The endovascular technique is an effective and safe means of treating complex RAA.
4.Clinical progress of compression therapy in treatment of venous leg ulcers
Can LU ; Kejia KAN ; Haozhe QI ; Shuofei YANG ; Jiaquan CHEN ; Hui XIE ; Lan ZHANG
Chinese Journal of General Practitioners 2017;16(11):898-900
Venous leg ulcers ( VLU) are open skin lesions of the lower extremities that occur in an area affected by venous hypertension .Due to the long healing time , high prevalence and recurrent rate , VLU always comes with a heavy economic burden that affects the quality of life of the patients .Currently, compression therapy is the main approach for treatment of VLU .However, which is the most effective device for compression therapy is still controversial .This article reviews the cutting-edge advances of the clinical compression therapy for VLU , which would provide a reference for clinicians to set an optimal strategy for VLU treatment.