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[遗传性出血性毛细血管扩张症患者肺动静脉畸形栓塞术后15年咳出栓塞弹簧圈]

[Expectoration of embolization coils 15 years after embolization of pulmonary arteriovenous malformations in a patient with hereditary hemorrhagic telangiectasia].

作者信息

Schwarzer D, Mäder I, Petrovitch A, Leonhardi J, Bonnet R

机构信息

Klinik für Pneumologie, Zentralklinik Bad Berka.

Klinik für interventionelle Radiologie, Zentralklinik Bad Berka.

出版信息

Pneumologie. 2014 Apr;68(4):282-5. doi: 10.1055/s-0034-1365127. Epub 2014 Mar 10.

Abstract

Hereditary hemorrhagic telangiectasia can manifest itself with pulmonary arteriovenous malformations (pavm). A transcatheter coil embolization should be made to avoid complications and to close off relevant arteriovenous shunts. We report on a patient with expectoration of embolization coils 15 years after embolotherapy. In case of hemoptysis following embolotherapy with coils, even years after their placement one should consider coil migration into the pulmonary system, besides newly formed pavms, in the differential diagnosis and initiate contrast-CT of the thorax and bronchoscopy.

摘要

遗传性出血性毛细血管扩张症可表现为肺动静脉畸形(PAVM)。应进行经导管线圈栓塞术以避免并发症并封闭相关动静脉分流。我们报告了一例患者,在栓塞治疗15年后咳出栓塞线圈。在用线圈进行栓塞治疗后发生咯血时,即使在放置多年后,除了新形成的PAVM外,在鉴别诊断中还应考虑线圈迁移至肺系统,并启动胸部对比CT和支气管镜检查。

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