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治疗性透静栓塞治疗先天性多孔脉动静脉

Lane Fry¹, Aaron Brake¹, Catherine Lei¹

¹The University of Kansas School of Medicine, Kansas City, Kansas, USA.

Journal of cerebrovascular and endovascular neurosurgery

|June 20, 2023

概括

透静脉栓塞 (TVE) 为复杂的多孔脉动静脉 (PAVF) 提供了一种可行且有效的治疗方法,该复杂的多孔脉动静脉 (PAVF) 抵抗了透动脉栓塞 (TAE). 这种综合方法在大多数情况下实现了持久的闭塞,改善了这种罕见疾病患者的临床结果.

科学领域:

神经学神经学
血管外科血管外科
干预性放射学干预性放射学

背景情况:

先天性内脉动囊 (PAVF) 是一种罕见的血管形.
多孔PAVF由于其众多的食动脉,给治疗带来了挑战.
跨动脉栓塞 (TAE) 是一线治疗,但对于复杂的病例可能不足.

研究的目的:

评估综合性跨动脉栓塞 (TAE) 随后通过静脉栓塞 (TVE) 方法的可行性和有效性.
评估患有复杂多孔先天性PAVF患者的治疗结果,这些患者对初始TAE具有耐火性.
介绍一系列的四名患者接受了这种分阶段的内血管战略治疗.

主要方法:

自2013年以来接受TAE/TVE联合治疗的多孔先天性PAVF患者的回顾性评估.
对治疗结果的分析,包括闭塞率和临床状态.
使用导管血管造影和MRI/MRA进行后续评估.

主要成果:

在四名患者中,有三名患者通过结合TAE/TVE方法实现了完全和持久的PAVF封闭.
在成功治疗的患者中观察到出色的临床结果 (修改的兰金评分0或1).
一名患有不完全闭塞的患者经历了不良的临床结果 (儿科mRS=5).

结论:

静脉输血栓塞 (TVE) 是一种可行且有效的辅助方法,用于治疗抗跨动脉输血栓塞 (TAE) 的多孔PAVF.
经过分阶段的TAE并遵循TVE策略,可以成功地阻止复杂PAVF中高流动动脉静脉分流的后果.
仔细的技术考量对于这种结合内血管方法的成功结果至关重要.

关键词:

血管内脏的内血管.儿科儿科儿科皮亚尔心房静脉囊皮亚尔心房静脉囊通过静脉栓塞进行了透静脉栓塞.血管形发生在血管上

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