肺动脉瘤动脉静脉形形通过血管插头治疗
Mauricio Gonzalez-Urquijo1, Michelle Marchesini2, Leopoldo Marine1
1Departamento de Cirugía Vascular y Endovascular, Escuela de Medicina, Pontificia Universidad Catolica de Chile, Santiago, Chile.
Vascular and endovascular surgery
|September 23, 2024
概括
一个肺动脉瘤动脉静脉形形被成功使用安普拉策血管塞治疗. 这种最少的侵入性方法有效地排除了食动脉,在无症状患者中解决了这种情况.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 肺部医学 肺部医学
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.
- 动脉瘤PAVMs虽然罕见,但存在破裂和出血的风险.
- 诊断往往是偶然的,就像在这个无症状患者身上看到的那样.
研究的目的:
- 为了呈现一个大,无症状的肺动脉瘤动脉静脉瘤形病例.
- 为了证明这种情况的血管塞的内血管治疗的疗效.
主要方法:
- 在一个30岁的男性中,通过CT扫描确定了37毫米的肺动脉瘤动脉静脉瘤形.
- 这种由单个食动脉供应的形,使用安普拉策血管塞进行了治疗.
- 进行了血管CT以进行后续评估.
主要成果:
- 阿姆普拉茨器血管塞成功排除了PAVM的 afferent动脉.
- 在19个月的随访中,血管CT显示了显著减少的残余质量 (9.0毫米),没有动脉填充或静脉排水.
- 在24个月的随访期间,患者仍然无症状和完全活跃.
结论:
- 使用血管塞的内血管封闭是一种有效的治疗肺动脉瘤动脉静脉瘤形.
- 这种微创手术为管理PAVMs提供了安全和成功的替代方案.
- 血管塞提供了一种可靠的方法,以排除PAVM中的食动脉,从而带来有利的长期结果.
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