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Successful coil embolization with a basic technique for ruptured posterior tibial artery in a patient with Ehlers-Danlos syndrome type IV: A case report

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Case Reports in Clinical Medicine 2013年第2期2卷 131-134页

作者： Satoko Nezu morio nagahata Keisuke Onishi Rei Kondo Shinjiro Saito Department of Diagnostic and Interventional Neuroradiology Yamagata City Hospital Saiseikan Yamagata Japan Department of Neurosurgery Yamagata City Hospital Saiseikan Yamagata Japan Department of Surgery Yamagata City Hospital Saiseikan Yamagata Japan

The surgical management of vascular complication with Ehlers-Danlos Syndrome type IV (EDS-IV) is extremely challenging because of its tissue or organ fragility including arteries. Less traumatic maneuvers and devices have been recommended to perform the endovascular treatment for the vascular lesion of EDS-IV, although the endovascular procedure is less invasive than surgical intervention. We report a 23-year-old man with EDS-IV suffered from left posterior tibial arterial rupture. We performed internal trapping of the ruptured segment using detachable coils with a standard technique via the contralateral femoral artery puncture. The patient was discharged without any complication associated with the endovascular procedure. Embolization by a basic technique, performed with greatest care, is a safe and useful treatment option which we radiologists should try for managing EDS-IV patients.

关键词： Ehlers-Danlos Syndrome Type IV Peripheral Arterial Rupture Coil Embolization

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Concurrent chemoradiation with intra-arterial docetaxel-nedaplatin for advanced oral cancers

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中国口腔颌面外科杂志 2008年第B5期6卷 129-129页

作者： Wataru Kobayashi Beng Gwan Teh Hirotaka Sakaki Hiroto Kimura morio nagahata Department of Oral and Maxillofacial Surgery Hirosaki University School of Medicine. 5-Zaifu-cho Hirosaki 036-8562 Japan Department of radiology Hirosaki University School of Medicine. 5-Zaifu-cho Hirosaki 036-8562 Japan

Purpose: To evaluate the effect and complication of concurrent chemoradiation with intra-arterial docetaxel-nedaplatin infusion。Methods: Fourteen patients with advanced oral cancers were treated between 2003 and 2007 at the Department of Oral and Maxillofacial Surgery, Hirosaki University Hospital。A total of 66Gy of external beam was irradiated for a period of seven weeks concurrent with two or three courses of intra-arterial infusion chemotherapy using a combination of docetaxel (40mg/mm2) and nedaplatin (80mg/mm2)。Treatment effect was evaluated by computed tomography (CT), magnetic resonance imaging (MRI) and positron emission tomography-CT (PET-CT)。Results: Thirteen out of fourteen patients (93%) were evaluated as complete response。The rate of gradeⅢtoⅣchemotoxicity was 93%。All patients developed reversible mucositis and dermatitis but the major adverse effects were leucopenia and alopecia。There has been no central nervous system complication related to the infusion technique。Two years survival rate was 72.9% with a median follow-up duration of 11 months。Conclusions: Intra-arterial docetaxel-nedaplatin infusion concurrent with radiotherapy is an effective treatment for advanced oral cancers but severe。complication is a problem that needs to be solved。

关键词：口腔癌动脉患者临床分析

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