静脉第一栓塞在IIIb型动脉静脉形异常中优于跨动脉方法
Jun Gon Kim1, Sang Yub Lee1, Kwang Bo Park1
1Department of Radiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
概括
与传统的跨动脉栓塞相比,治疗IIIb型动脉静脉形 (AVM) 的静脉第一 (VF) 策略显示出更好的结果和更少的不良事件.
科学领域:
- 干预性放射学 干预性放射学
- 血管外科 血管外科
- 神经外科 神经外科
背景情况:
- 第三类b型动脉静脉形 (AVM) 存在复杂的治疗挑战.
- 传统的跨动脉 (TA) 栓塞在有效性和安全性方面存在局限性.
研究的目的:
- 评估对IIIb型AVM进行修改的静脉第一 (VF) 策略.
- 将VF策略与TA方法的安全性和有效性进行比较.
主要方法:
- 对117名患有IIIb型AVM的患者进行了回顾性审查.
- 在VF组 (直接静脉穿刺,线圈栓塞,乙醇注射) 和TA组之间进行比较.
- 对AVM特征,治疗疗程,结果和不良事件的分析.
主要成果:
- 风湿组的病变改善明显更好 (88%与51%相比;P = .001).
- 与程序相关的不良事件在VF组明显较低 (11%对22.3%;P = .0009).
- 没有观察到治疗次数或乙醇体积的显著差异.
结论:
- 静脉第一策略为IIIb型AVM提供了更好的结果.
- 与TA栓塞相比,VF方法与与程序相关的不良事件的发生率较低.
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