盆腔AVM栓塞:一个棘手的事-多中心回顾经验
Maciej Szmygin1, Francesco Giurazza2, Pierre De Marini3
1Department of Interventional Radiology and Neuroradiology, Medical University of Lublin, Lublin, Poland.
概括
栓塞有效治疗盆腔动脉静脉形形 (pAVMs),提供安全和最小侵入性的选择. 大多数患者经历显著的症状缓解和高满意度后内血管治疗pAVMs.
科学领域:
- 干预性放射学 干预性放射学
- 血管外科 血管外科
- 医疗成像医学成像
背景情况:
- 盆腔动脉静脉形形 (pAVMs) 是一种血管异常,可以引起严重的症状,如出血症和月经膜异常症.
- 破裂的pAVMs构成一个危及生命的风险.
- 内血管栓塞是对pAVMs的主要治疗方式.
研究的目的:
- 报告一个回顾性的多中心经验与盆腔动脉静脉形的栓塞.
- 提供关于pAVM治疗的当前文献的概述.
主要方法:
- 对18名患者 (14名女性,4名男性) 进行了回顾性分析,他们接受了微侵袭性内血管方法治疗的PAVM.
- 程序前的成像包括彩色多普勒超声波,CT和MRI.
- 治疗涉及跨动脉或穿皮直接穿孔栓塞.
主要成果:
- 在67%的患者中实现了完全的闭塞.
- 78%的人有令人满意的栓塞和显著的长期临床改善.
- 88%的患者对临床结果感到满意,在治疗后报告了一次成功怀孕.
结论:
- 血管内栓塞是一种安全,可行的,临床上有效的治疗pAVMs.
- 了解盆腔AVM的血液动力学和解剖学对于成功的治疗计划至关重要.
- 最少侵入性内血管方法为pAVMs提供了传统手术治疗的可靠替代方案.
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