盆腔动脉静脉形形的栓塞治疗:一个系统的审查
Chiara Brechbühl1,2,3, Nicolas Diehm2,4,5, Hanno Hoppe6,7,8,9
1Microtherapy Center Bern, Lindenhofgruppe, Bremgartenstrasse 117, Bern, 3012, Switzerland.
CVIR endovascular
|February 28, 2026
概括
栓塞疗法有效治疗盆腔动脉静脉形 (AVM),一种罕见的血管异常. 主导外流静脉 (DOV) 的直接穿孔是一种常见的方法,成功率高,并发症率低.
科学领域:
- 血管外科 血管外科
- 干预性放射学 干预性放射学
- 医学诊断 医学诊断 医学诊断
背景情况:
- 盆腔动脉静脉形 (AVM) 是一种不常见的先天性血管异常.
- 这些AVM可能导致显著的临床症状,需要有效的治疗策略.
研究的目的:
- 系统地审查诊断方法,栓塞技术和盆腔AVM的临床结果.
- 综合当前关于骨盆AVM栓塞疗法的有效性和安全性的证据.
主要方法:
- 进行了符合PRISMA的系统文献搜索.
- 包括19项涉及49名患者的研究,这些患者接受了盆腔AVM的栓塞治疗.
主要成果:
- 静脉接近,特别是主导流出静脉 (DOV) 的直接刺穿,是最常见的.
- 线圈是主要的栓塞剂,经常与其他材料一起使用,显示技术变化.
- 栓塞证明了技术和临床成功率高,并发症率低 (平均随访时间:21.1个月).
结论:
- 栓塞,特别是针对DOV,是症状性盆腔AVM的成功治疗方法.
- 需要进一步进行比较研究,以建立标准化治疗方案.
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