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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

Trans-arterial embolization of a Yakes type IIb inferior mesenteric arteriovenous malformation: A case report and literature review for angio-architecture analysis.

作者信息

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

机构信息

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

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

出版信息

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

DOI:10.1016/j.radcr.2023.01.069
PMID:36865618
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9971117/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/0092850d89af/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/0a83c4a3fd4b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/2caeea7f4e44/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/52e0b3245d26/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/8519c82d6e84/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/cbaedc5e2f30/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/0092850d89af/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/0a83c4a3fd4b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/2caeea7f4e44/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/52e0b3245d26/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/8519c82d6e84/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/cbaedc5e2f30/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/11f2/9971117/0092850d89af/gr6.jpg

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本文引用的文献

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Venous Rupture Following Transcatheter Arterial Embolization for Inferior Mesenteric Type II Arteriovenous Malformation.经导管动脉栓塞治疗肠系膜下动脉II型动静脉畸形后发生静脉破裂
Interv Radiol (Higashimatsuyama). 2022 Jul 1;7(2):81-84. doi: 10.22575/interventionalradiology.2021-0028.
2
A case of arteriovenous malformation in the inferior mesenteric artery region resected surgically under intraoperative indocyanine green fluorescence imaging.一例在术中吲哚菁绿荧光成像引导下手术切除的肠系膜下动脉区域动静脉畸形病例。
Int J Surg Case Rep. 2022 Mar;92:106831. doi: 10.1016/j.ijscr.2022.106831. Epub 2022 Feb 12.
3
Detection and Intervention of Clinically Masquerading Inferior Mesenteric Artery AVMs.
临床伪装的肠系膜下动脉动静脉畸形的检测与干预
Case Rep Radiol. 2021 May 28;2021:8854806. doi: 10.1155/2021/8854806. eCollection 2021.
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Inferior mesenteric arteriovenous fistula with colonic ischemia: a case report and review of the literature.肠系膜下动静脉瘘并结肠缺血：病例报告及文献复习。
Clin J Gastroenterol. 2021 Aug;14(4):1131-1135. doi: 10.1007/s12328-021-01411-9. Epub 2021 Apr 10.
5
Unusual Presentation of Anal Pain and Tenesmus from Rectal Arteriovenous Malformation Successfully Treated with Ethanol Sclerotherapy.直肠动静脉畸形导致的肛门疼痛和里急后重的罕见表现经乙醇硬化疗法成功治疗
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