Rémy J, Rémy-Jardin M
Service de Radiologie, Hôpital A. Calmette, Lille.
Ann Chir. 1990;44(8):681-7.
Forty two pulmonary arteriovenous malformations (PAVM) in seventeen patients were treated by coil vaso-occlusion between 1979 and 1989. The techniques of deposition of coils and spiders and the precautions taken to avoid complications are described. Complete occlusion of the arterial pedicles of the PAVM was immediately obtained in 34/37 pedicles. 3/37 were occluded secondarily. Five PAVM were submitted to surgery demonstrating the reciprocal indications for surgical and per-angiographic techniques. Except in one patient, in the beginning of our experience, the observed complications were minor and we have subsequently modified our techniques to avoid them.
1979年至1989年间，对17例患者的42处肺动静脉畸形（PAVM）进行了弹簧圈血管闭塞治疗。描述了弹簧圈和蜘蛛形弹簧圈的置入技术以及为避免并发症所采取的预防措施。37个供血动脉干中的34个立即实现了PAVM供血动脉干的完全闭塞，3个供血动脉干随后实现了闭塞。5处PAVM接受了手术，显示了手术和血管造影技术的相互适应症。除了1例患者，在我们经验的初期，观察到的并发症较轻微，我们随后改进了技术以避免这些并发症。
