■肾和甲状腺癌等高血管肿瘤具有术中出血的重大风险。为了帮助减轻出血,传统上使用介入性术前栓塞;然而,成功是高度可变的。这是第一个病例报告,讨论使用可扩张球囊植入物与微创方法来实现骨折固定和填塞急性术中出血。
■一名48岁男性,患有透明细胞肾细胞癌,表现为左肱骨干病理性骨折。病人被安排接受开放活检,肿瘤刮治,用髓内装置固定骨折。术中,在开放活检和刮宫期间,出血快,在插入髓内光动力骨稳定植入物(IlluminOss)后停止。植入物的球囊扩张到肱骨的直径允许填塞,断裂稳定性,和微创方法。
■我们提出了一种可能的术中选择,通过部署光动力稳定装置来控制病理性长骨骨折的出血。所描述的方法可以在特定患者中应用,并且由于植入物在骨骼内产生填塞的能力,因此无需对高血管性肿瘤进行术前栓塞。
UNASSIGNED: Hypervascular tumors such as renal and thyroid carcinoma have a significant risk of intraoperative bleeding. To help mitigate bleeding, interventional preoperative embolization is traditionally used; however, it is success is highly variable. This is the first
case report to discuss using expandable balloon implants with a minimally invasive approach to achieve fracture fixation and tamponade acute intraoperative bleeding.
UNASSIGNED: A 48-year-old male with clear-cell renal cell carcinoma presented with a left humeral shaft pathologic fracture. The patient was scheduled to undergo open biopsy, curettage of tumor, and fracture fixation with an intramedullary device. Intraoperatively, during open biopsy and curettage, brisk bleeding was encountered, which ceased after inserting an intramedullary photodynamic bone stabilization implant (IlluminOss). The implant\'s balloon expanded to the diameter of the humerus allowing for tamponade, fracture stability, and a minimally invasive approach.
UNASSIGNED: We present a possible intraoperative option for achieving control of bleeding in pathologic long bone fractures by deploying a photodynamic stabilization device. The method described can have applications in specific patients and obviate the need for pre-operative embolization for highly vascular tumors due to the implant\'s ability to create tamponade within the bone.