METHOD OF ENDOVASCULAR EMBOLIZATION OF THE INTERNAL ILIAC ARTERY IN PATIENTS WITH NEOPLASMS OF SMALL PELVIS

摘要

FIELD: medicine.SUBSTANCE: invention relates to x-ray surgery, gynecology, endovascular surgery and oncology. Retraction left upper limb patient toward a right angle to the longitudinal axis of the body and leave it in this position until the end of the endovascular embolization. Perform a puncture left brachial artery proximal to the elbow in the 2-3 cm. Then, after a puncture left brachial artery catheter on the conductor is passed through the shoulder, axillary, subclavian artery, the catheter is then directed at the conductor in the descending aorta and carry through her chest, and then the abdominal departments to the bifurcation of the abdominal aorta. Then the catheter is passed through the conductor to the common iliac artery to the internal iliac artery and set it. Then, remove the wire and produce angiography. Assesses options for each of the individual anatomy of the arteries associated with neoplasm the pelvis and the results of angiography planned treatment strategy. Further, the guide catheter is introduced and the tip of the catheter is positioned in the trunk of the internal iliac artery or its branches associated with malignancy. Remove wire from the catheter, then under the control angiography endovascular embolization operate with one hand. Then the conductor is introduced into the catheter and pulled proximally back, consistently redirect it to the contralateral - common iliac artery. Then it is moved into the internal iliac artery is performed and embolization of the arteries supplying the tumor, on the other hand.EFFECT: method can increase the reliability and embolization catheter manipulations to reduce the technical complexity and secure surgical intervention.4 cl, 12 dwg, 1 ex