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Shinji Wada¹, Shingo Hamaguchi², Kazuki Hashimoto²

¹Department of Diagnostic and Interventional Radiology, St. Marianna University School of Medicine, 2-16-1, Sugao, Miyamae-ku, Kawasaki City, Kanagawa, 216-8511, Japan. shinjiwada@marianna-u.ac.jp.

Cardiovascular and interventional radiology

|June 19, 2024

概括

使用AMPLATZER IV型血管插头 (AVP IV) 进行肺动脉静脉形变形 (PAVM) 栓塞的技术成功率为100%. 没有使用AVP IV治疗的PAVM在手术后一年出现再通道化,这表明治疗是安全有效的.

科学领域:

干预性放射学干预性放射学
血管外科血管外科
心脏病学心脏病学

背景情况:

肺动脉静脉形 (PAVMs) 是肺动脉和静脉之间的异常连接.
栓塞是PAVM的常见治疗方法,旨在封闭养血管.
AMPLATZER血管塞 IV型 (AVP IV) 是一种用于血管封闭的设备.

研究的目的:

为了评估使用AMPLATZER血管插头IV型 (AVP IV) 进行栓塞治疗的简单型PAVM的血管学重通道化率.
评估AVP IV对PAVM栓塞的安全性和有效性.

主要方法:

在2015年5月至2021年11月期间,对10名19名简单型PAVM患者进行了AVP IV治疗的回顾性研究.
技术上的成功是由AVP IV的位置在囊的近邻位置定义的.
主要终点:在1年后的肺血管造影中,PAVM再通道化率.

主要成果:

在简单类型的PAVM中,AVP IV栓塞的技术成功率为100%.
没有PAVM (0/19) 在1年的随访肺血管造影中证明了再通道化.
一名患者经历了血栓塞和肺炎作为并发症.

结论:

使用AVP IV进行简单型PAVM的栓塞是一种安全有效的治疗方法.
在1年的随访后,AVP IV安置实现了高的技术成功率,没有PAVM重新道化.
在治疗简单的肺动脉静脉形形时,AVP IV是一种可行的选择.

关键词:

AMPLATZER血管插头插头血栓形成的过程中发生了栓塞.肺动脉静脉形形肺动脉静脉形形重新道化是什么意思

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