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使用低密度NBCA/碘油通过栓塞加推注技术对高流量外周动静脉畸形进行术前栓塞。

Preoperative embolization of high-flow peripheral AVMs using plug and push technique with low-density NBCA/Lipiodol.

作者信息

Ho Anh Binh, Nguyen Ngoc Son, Le Vu Huynh, Nguyen Duc Dung, Phan Anh Khoa, Nguyen Thanh Xuan, Pham Nhu Hiep

机构信息

Department of Emergency and Interventional Cardiology, Hue Central Hospital, Hue city, Vietnam.

Department of Interventional Radioneurology, Hue Central Hospital, Hue city, Vietnam.

出版信息

J Surg Case Rep. 2020 Sep 21;2020(9):rjaa316. doi: 10.1093/jscr/rjaa316. eCollection 2020 Sep.

DOI:10.1093/jscr/rjaa316
PMID:32994914
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7505410/
Abstract

Arteriovenous malformations (AVMs) embolization is considered as a promising option either its single treatment or in combination with surgery, and the use of low-density N-butyl cyanoacrylate (NBCA)/Lipiodol is acceptable mixture agents but its application should be performed by experienced endovascular teams. We describe a successful case preoperative embolization of high-flow AVMs with low-density NBCA/Lipiodol. A 26-year-old male patient was hospitalized with a big pulsatile mass at the right thigh. Doppler ultrasound showed a mass with high systolic, and diastolic velocities coming from the right superficial femoral artery. Angiogram showed a large and high-flow AVM type IV, according to Yakes classification. Low-density NBCA/Lipiodol 12.5% were performed to obstruct all the nidus and feeding arteries. Extirpation surgery was implemented 4 days after the complete embolization procedure.

摘要

动静脉畸形（AVM）栓塞术无论是单独治疗还是与手术联合使用，都被认为是一种有前景的选择，使用低密度N-丁基氰基丙烯酸酯（NBCA）/碘油是可接受的混合剂，但其应用应由经验丰富的血管内治疗团队进行。我们描述了一例使用低密度NBCA/碘油成功进行高流量AVM术前栓塞的病例。一名26岁男性患者因右大腿出现一个搏动性大包块入院。多普勒超声显示一个包块，其收缩期和舒张期血流速度较高，来自右股浅动脉。血管造影显示根据亚克斯分类为大型高流量IV型AVM。使用12.5%的低密度NBCA/碘油阻塞所有病灶和供血动脉。在完全栓塞术后4天实施切除手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/030d/7505410/0269e6130ec0/rjaa316f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/030d/7505410/75b2bb16defe/rjaa316f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/030d/7505410/47cea229dd5b/rjaa316f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/030d/7505410/0269e6130ec0/rjaa316f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/030d/7505410/75b2bb16defe/rjaa316f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/030d/7505410/47cea229dd5b/rjaa316f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/030d/7505410/0269e6130ec0/rjaa316f3.jpg

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Angioarchitecture and hemodynamics of microvascular arterio-venous malformations.微血管动静脉畸形的血管构筑和血流动力学。
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