With the continuous innovation and development in the field of interventional therapy, the complexity of surgery has been gradually increased, meanwhile, the psychological expectation from patients for a minimally invasive surgery has also become higher and higher. Patients expect not only to be safe to complete the surgery, but also to maintain the comfort during operation process. For ensuring these demands, anesthesia plays a key role. This paper aims to discuss the current situation, problems and development direction of anesthesia application in interventional surgeries in order to help promote the anesthesia management concepts in performing interventional procedures.

Objective To study the effect of premature physeal fusion of t ri radiate cartilage on hip development. Methods Ten rabbits aged 4 to 5 weeks were used by partial excision of triradiate physeal cartilage on the right hip of ea ch rabbit, and the opposite untreated hip served as control. Postoperative analy sis consisted of radiographic and histological studies. Radiographs of both hips were taken at 2 days and 3, 6, 9 and 12 weeks after surgery to evaluate the dev elopment and stability of hips. All rabbits were sacrificed at 12 weeks postoper atively. The gross and microscopic histological changes of the hip joints were s ubsequently assessed. The statistic analysis was performed by paired student’s t test worked out by SPSS software. Results On the operated hips, bone bridge fo rmed 3 weeks after operation at the site of triradiate cartilage. The medial ace tabular walls became thick, and the acetabula were shallow. At 6 and 9 weeks pos toperatively, the thickness of acetabular walls increased gradually, and irregul ar sclerosis appeared on the acetabular roof. The density of femoral head increa sed in 6 of 10 rabbits. At 12 weeks postoperatively, the acetabular cavity was m ore shallow, and the femoral head appeared flat. Subluxation of hip was observed in 5 rabbits. There was significant difference in approximate acetabular index (AAI), acetabular head index (AHI) and the thickness of acetabular wall between the operated and control hips. The mean value of AAI and AHI on the operated hip s at 12 weeks significantly decreased as compared to that at 2 days. Gross inspe ction confirmed that the acetabular cavity on the operated hips was characterist ically shallow with a marked increase thickness of medial wall. The femoral head became flattened, and the cartilage of both acetabulum and femoral head were th inned. Histological study showed thinning and partial loss of the joint cartilag e layer and irregularity of cartilage cells on the operated hip joints. There we re increased amounts of fibrovascular cells deep to the cartilaginous layer. In addition, the femoral head exhibited a zone of necrosis in its superior pole wit h thinning of the epiphyseal plate. On the control hips, structure of acetabulum and femoral head appeared normal congruity. Conclusion Acetabular triradiate ca rtilage injury might result in bony bar formation and premature fusion of physis . Its main pathologic changes are widening of the acetabular medial wall, shallo wness of the acetabular cavity, and subsequent hip dysplasia and dislocation.

Clinically,heparin-induced thrombocytopenia (HIT) is an uncommon but serious disease,which is induced by the use of immune unfractionated heparin or low-molecular-weight heparin.The overall incidence of HIT is about 0.6％-5.0％.Nevertheless,in clinical practice it is profoundly dangerous,especially for patients who are receiving cardiovascular surgery or interventional therapy.At present,HIT is a hot clinical research subject.This paper aims to make a brief review about HIT pathogenesis,epidemiology,clinical evaluation and treatment,etc.

Objective To evaluate the long- term results of intracystic corticosteroid injection for the treatment of simple bone cysts. Methods Seventy- six children with simple bone cysts treated by intracystic injection of corticosteroid from 1985 to 1995 were followed- up for an average of 8.2 years（ 5－ 13 years） . Forty- one of the cysts were situated at the proximal end of the humerus, 20 at the proximal end of the femur and 15 at other sites. The mean injection times were 4.2(2－ 13 times). Results Forty- two(55.3％ ) cysts were healed up completely, 16(21.1％ ) basically healed up, 9(11.8％ ) healed up partially and 9(11.8％ ) failures. Satisfactory and effective rate was 76.4％ and 88.2％ respectively. Conclusion Intracystic corticosteroid injection appears to be the initial choice of treatment for simple bone cysts, because it is an effective, and non－ invasive method which can be carried out easily.

Hepatic arterio-venous shunt(HAVS) is a sort of usual pathologic phenomena accompanied by hepatocellular carcinoma,cirrhosis and so on,having significant influence on the therapy and prognosis of HCC.It is very important to have an looking in-depth sight,making a prompt correct diagnosis and giving a proper active therapy for HAVS.The authors reviewed in detail concerning the caused mechanism,imaging-diagnosis and interventional procedures of HAVS so as to get an accordance on it.

50%) of the stent at 2 weeks follow-up,so did 3 cases at 12 weeks follow-up,and the total stenosis rate was 37.5% and 5 cases manifested full endothelialization(3 different locations of the sample all manifested full endothelialization) ,3 cased manifested partial endothelialization(at least 1 location of the sample didn't show full endothelialization) ,and the two terminal parts were easier to get endothelialization than the central part.Before and after the stent implantation,hepatic function of all cases didn't demonstrate any obvious changes.Conclusions Balloon-expandable covered stent can be implanted in canine hepatic artery successfully,with good apposition ability,full endothelialization,and no influence on hepatic function.

The application of covered stent in vascular malformation such as aneurysm,pseudoneurysm(PSA) ,arteriovenous fistula(AVF) has outcome to an encouraging result.Recently,it has also been effectively used for PTA,TIPS,traumatic lesions of peripheral vessels,and pseudoneurysm of dialysis grafts,etc.But there still remain some issues on the restenosis and endothelialization after the performance with covered stent.This review will pay attention to them.

Objective To evaluate the imaging diagnosis and select rational interventional treatment for Cockett's syndrome. Methods Clinical analyses and retrospective studies were carried out for 14 cases with Cockett's syndrome in the past five years. Results Three cases of simple Cockett's syndrome and 2 cases of varicose veins showed obvious curable efficacy. In 2 cases of synthetically interventional treatment, 1 case showed no relapse after long-term follow-up of 24 months, another developed acute thrombosis again two weeks later but with a further recurrence after a successful thrombolysis; and then the patient was undergone vascular graft bypass and temporary arteriovenous shunt. Conclusions Through proper and prompt evaluation of stenotic and hemadynamic changes of the iliac and femoral veins giving a complete picture of the pathophysiology, whould lead to a successful treatment for cocketts syndrome especialy before the venous thombosis, and in turn would greatly reduce the late stage complications.