经动脉栓塞治疗Yakes IIb型肠系膜下动静脉畸形：血管构筑分析的病例报告及文献复习

Su Bo-Ying, Wang Yen-Chi, Weng Mei-Jui, Chen Matt Chiung-Yu

Department of Radiology, Taipei Hospital, Ministry of Health and Welfare, New Taipei, Taiwan.

Department of Radiology, Tri-Service General Hospital, New Taipei, Taiwan.

Radiol Case Rep. 2023 Feb 16;18(4):1620-1627. doi: 10.1016/j.radcr.2023.01.069. eCollection 2023 Apr.

We herein report a case of acute, massive lower gastrointestinal bleeding caused by Yakes type IIb inferior mesenteric arteriovenous malformation, which was successfully treated with endovascular embolization. The Yakes arteriovenous malformation classification provides curative treatment strategies based on specific angioarchitecture, thus serving as a valuable guide during treatment planning. We reviewed reported cases from 1988 to 2022 and conducted an angioarchitecture analysis based on the Yakes classification. We analyzed these reported cases to estimate the treatment success rates of surgery and embolization.

我们在此报告一例由亚克斯IIb型肠系膜下动静脉畸形引起的急性大量下消化道出血病例，该病例通过血管内栓塞成功治疗。亚克斯动静脉畸形分类基于特定的血管结构提供了治愈性治疗策略，因此在治疗规划中是一个有价值的指导。我们回顾了1988年至2022年报告的病例，并基于亚克斯分类进行了血管结构分析。我们分析这些报告的病例以估计手术和栓塞的治疗成功率。