Yuzaki Ikki, Aramaki-Hattori Noriko, Tamura Masashi, Torikai Hideyuki, Okabe Keisuke, Sakai Shigeki, Nakatsuka Seishi, Jinzaki Masahiro, Kishi Kazuo, Inoue Masanori
Department of Plastic and Reconstructive Surgery, Keio University School of Medicine, Tokyo, Japan.
Department of Diagnostic Radiology, Keio University School of Medicine, 35 Shinanomachi, Shinjuku-ku, Tokyo 160-8582, Japan.
Radiol Case Rep. 2020 Oct 12;15(12):2621-2626. doi: 10.1016/j.radcr.2020.10.007. eCollection 2020 Dec.
Arteriovenous malformations of the sole of the foot are rare and can cause disturbances in normal living activities. We report a case of a plantar arteriovenous malformation in a 24-year-old male with pain and difficulty in walking. The arteriovenous malformation was complex, with a large and poorly marginated nidus, so we considered that with surgical resection, walking disabilities would be inevitable. When surgical removal of vascular mass is difficult, embolization alone can be effective. Therefore, he was treated with 4 therapeutic embolization procedures. Transvenous approaches to the venous sac and direct punctures of the nidus was performed. The nidus was successfully eradicated by embolization using alcohol, resulting in the disappearance of associated symptoms. Appropriate imaging is essential for diagnosis and evaluation of treatment. We were successful in achieving improved quality of life and satisfaction for a rare and difficult case by percutaneous embolization and sclerotherapy.
足底动静脉畸形较为罕见，可导致正常生活活动受到干扰。我们报告一例24岁男性的足底动静脉畸形病例，该患者伴有疼痛及行走困难。该动静脉畸形情况复杂，有一个大且边界不清的病灶，因此我们认为手术切除后，行走功能障碍将不可避免。当手术切除血管团困难时，单纯栓塞可能有效。因此，对其进行了4次治疗性栓塞术。采用经静脉途径进入静脉囊并直接穿刺病灶。通过使用酒精栓塞成功根除了病灶，相关症状消失。恰当的影像学检查对于诊断和治疗评估至关重要。通过经皮栓塞和硬化治疗，我们成功改善了这一罕见且棘手病例的生活质量并提高了患者满意度。
