Tamura Mariko, Yamamoto Masashi, Shima Koichiro, Nakamura Toshinobu, Hirasawa Toru, Takeyama Yoshihiro, Yoshida Kenya, Suzuki Katuo
Department of Respiratory Medicine, Nagoya Ekisaikai Hospital.
Nihon Kokyuki Gakkai Zasshi. 2005 Oct;43(10):583-7.
We report three cases of transcatheter embolization for pulmonary arteriovenous fistula (PAVF) using Interlocking detachable coils (IDC) and detachable fibered coils (DFC), and evaluate the outcome of transcatheter embolization with reference to previous reports. The three patients were women aged 56, 70 and 71 years. They had no symptoms, but chest radiographs were abnormal. None of them had Rendu-Osler-Weber disease. The three PAVFs were of the simple type, with a single feeding vessel and a single draining vein. In case 1, the feeding vessel arose from the left A4, while the feeding vessels in case 2 and 3 arose from the left A5. In case 1, we embolized the venous sac with detachable coils because the feeding vessel was short and kinked. In case 2 and 3, we embolized the feeding vessels closer as to the neck of the venous sac using detachable coils. The three PAVFs were all successfully embolized without severe complications, and transcatheter embolization seems to be an effective therapy.
我们报告了3例使用可脱卸弹簧圈(IDC)和可脱卸纤维圈(DFC)经导管栓塞治疗肺动静脉瘘(PAVF)的病例,并参考既往报告评估经导管栓塞的治疗效果。3例患者均为女性,年龄分别为56岁、70岁和71岁。她们均无症状,但胸部X线片显示异常。她们均无遗传性出血性毛细血管扩张症。3例PAVF均为简单型,有单一供血血管和单一引流静脉。病例1的供血血管起自左A4,病例2和3的供血血管起自左A5。病例1中,由于供血血管短且扭曲,我们用可脱卸弹簧圈栓塞了静脉囊。病例2和3中,我们用可脱卸弹簧圈在靠近静脉囊颈部处栓塞了供血血管。3例PAVF均成功栓塞,无严重并发症,经导管栓塞似乎是一种有效的治疗方法。