Department of Radiology and Research Institute of Radiological Science, Severance Hospital, Seoul, Republic of Korea.
J Vasc Surg. 2010 Apr;51(4):1006-9. doi: 10.1016/j.jvs.2009.11.036.
We present a 64-year-old woman with left leg swelling for 1 year. Computed tomography imaging showed a large pelvic arteriovenous malformation that consisted of multiple fine shunts between the left internal iliac artery and the long segment of the left external iliac vein. A stent graft was inserted within the left external iliac vein to occlude the arteriovenous shunts with consecutive transarterial sclerotherapy using absolute ethanol. This resulted in complete resolution of the pelvic arteriovenous malformation. To our knowledge, this is the first reported case of stent graft insertion within a large vein for treating arteriovenous malformation.
我们报告了一位 64 岁女性，其左腿肿胀 1 年。计算机断层扫描成像显示巨大的骨盆动静脉畸形，由左侧髂内动脉和左侧髂外静脉长段之间的多个细小分流组成。在左侧髂外静脉内插入支架移植物以闭塞动静脉分流，随后使用无水乙醇进行连续经动脉硬化治疗。这导致骨盆动静脉畸形完全消退。据我们所知，这是首例报道的使用支架移植物插入大静脉治疗动静脉畸形的病例。
