食动脉微血管插头栓塞与Nidus-Plus-食动脉线圈栓塞的肺动脉静脉形形
Shanmukha Srinivas1, Dustin G Roberts1, Justin P McWilliams1
1Division of Interventional Radiology, University of California, Los Angeles, CA 90095, USA.
Journal of clinical medicine
|May 14, 2025
概括
线圈栓塞 (NiFA-coil) 和微血管塞栓塞 (FA-MVP) 均有效治疗肺动脉静脉形 (PAVMs). 长期研究显示,这两种手术的持久性闭塞率相似,这表明PAVM治疗的成功率很高.
科学领域:
- 干预性放射学 干预性放射学
- 血管医学 血管医学
- 心脏病学 心脏病学
背景情况:
- 肺动脉静脉形形 (PAVMs) 需要有效的治疗来预防并发症.
- 存在两种主要的栓塞技术:线栓塞,准阴茎和食动脉 (NiFA-coil) 和微血管插头栓塞在远端食动脉 (FA-MVP).
- 这些技术用于PAVM治疗的比较结果尚未确立.
研究的目的:
- 为了比较PAVMs的NiFA-coil和FA-MVP栓塞的持久性阻塞率.
- 评估两种栓塞技术在治疗PAVMs的长期疗效.
主要方法:
- 在85名患者中对142个PAVM (48个FA-MVP,94个NiFA-coil) 的回顾性审查 (2014年10月 - 2024年5月).
- 最初和长期随访的胸部CT成像评估了持久的闭塞 (≥70%的收缩).
- 考克斯回归与反向倾向得分权重分析技术与持久封闭的关联.
主要成果:
- 总体而言,持久性闭塞很高:97.2%是短期的,90.2%是长期的.
- FA-MVP处理了更简单的PAVM; NiFA-coil处理了更大的食动脉和囊.
- 短期 (96.8% vs. 97.8%) 和长期 (88.9% vs. 92.9%) 持久性闭塞率在NiFA-coil和FA-MVP之间分别是可比的 (p > 0.99).
结论:
- 无论是NiFA-coil还是FA-MVP栓塞,在PAVM治疗中都显示出高效和可比的疗效.
- 这些栓塞技术提供了类似的持久性阻塞率,支持在PAVM管理中使用它们.
- 技术的选择可能取决于特定的PAVM特征,但结果同样成功.
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