微动脉静脉导致耐火性皮肤:透管栓塞的可行性和安全性
Sota Oguro1, Akira Endo2, Hiromitsu Tannai2
1Department of Diagnostic Radiology, Tohoku University Hospital, Sendai, Miyagi, 980-8574, Japan. sota.oguro.c8@tohoku.ac.jp.
Cardiovascular and interventional radiology
|October 19, 2025
概括
使用Imipenem/cilastatin进行透管动脉栓塞是一种安全有效的治疗方法,用于由微动脉静脉引起的耐火下肢. 在最近的一项研究中,这种微创手术的成功率很高.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 皮肤病学 皮肤病学
背景情况:
- 微动脉静脉 (m-AVFs) 涉及到下肢的不愈合.
- 对于这些耐火性,标准治疗方法往往失败.
研究的目的:
- 评估通过导管动脉栓塞 (TAE) 治疗与m-AVF相关的耐火性皮肤的可行性和安全性.
- 在TAE期间评估使用伊米佩内姆/西拉斯酸盐 (IPM/CS) 的疗效.
主要方法:
- 从2013年到2023年,对17名下肢耐火性的患者进行了回顾性分析,这些患者接受了TAE治疗.
- 通过多普勒和血管学证实m-AVFs的诊断.
- 通过关动脉接入进行的TAE使用IPM/CS与对比物混合,直到流量停滞.
主要成果:
- 在17名患者的41次栓塞中,100%的技术成功消除了静脉分流.
- 没有重大并发症;在约20%的病例中报告了轻微的疼痛.
- 在平均11.5个月的随访后,88%的临床成功 (≥50%的大小减少).
结论:
- 通过导管动脉栓塞使用伊米佩内姆/拉斯是一种可行且安全的治疗方法,用于耐火性下肢皮肤.
- 这种干预技术为复杂的病例提供了有希望的解决方案.
- 高的技术和临床成功率支持其用于管理m-AVF相关的.
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