Kolasa P, Kaurzel Z, Pochylski W, Kozak J
Oddziału Neurochirurgii, Wojewódzkiego Szpitala Specjalistycznego im. M. Kopernika w Łodzi.
Neurol Neurochir Pol. 2001;35 Suppl 5:45-52.
Endovascular treatment of cerebral arteriovenous malformation (AVM) lies in selective catheterisation through feeder and AVM nidus. Sticking mixture is applied after proper verification of microcatheter location. Malformation embolisation is normal when the vessel net is of small diameter. In the presented case embolisation material penetrated cerebral vein system and then lungs, where numerous emboli developed. X-ray where confirmed pulmonary embolism resulted in severe respiratory insufficiency. Treatment of this rare complication as well as the cause of its occurrence have been presented. Prevention of such complications has been considered.
脑动静脉畸形(AVM)的血管内治疗在于通过供血动脉和AVM病灶进行选择性插管。在微导管位置得到适当确认后应用栓塞剂。当血管网直径较小时,畸形栓塞是正常的。在本病例中,栓塞材料进入脑静脉系统,然后进入肺部,在肺部形成了大量栓子。X线检查证实肺栓塞导致严重呼吸功能不全。本文介绍了这种罕见并发症的治疗方法及其发生原因,并考虑了此类并发症的预防措施。