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体部和肢体动静脉畸形的血管内及经皮栓塞治疗

Endovascular and Percutaneous Embolotherapy for the Body and Extremity Arteriovenous Malformations.

作者信息

Osuga Keigo, Yamamoto Kazuhiro, Higashihara Hiroki, Juri Hiroshi, Yamamoto Kiyohito, Higashiyama Akira, Matsutani Hiroki, Sugimoto Asami, Toda Sou, Fujitani Tomohiro

机构信息

Department of Diagnostic Radiology, Osaka Medical and Pharmaceutical University, Japan.

Department of Diagnostic and Interventional Radiology, Osaka University Graduate School of Medicine, Japan.

出版信息

Interv Radiol (Higashimatsuyama). 2023 Jun 3;8(2):36-48. doi: 10.22575/interventionalradiology.2022-0008. eCollection 2023 Jul 1.

Abstract

Arteriovenous malformations (AVMs) consist of abnormal communications between the arteries and veins. They can involve any part of the body and extremity and grow in proportion to age and in response to hormonal influence or trauma. When symptoms progress from Schöbinger clinical stage II to III, transcatheter and/or direct puncture embolization are less-invasive and repeatable options for symptom palliation. The goal of embolization is to obliterate the AV shunt, and the choice of lesion access and embolic agents is based on the individual anatomy and flow. Embolization can be technically challenging due to complex vascular anatomy and morbidity risks. Therefore, a multidisciplinary management is essential for the diagnosis and therapeutic intervention of AVMs.

摘要

动静脉畸形(AVM)由动脉和静脉之间的异常交通组成。它们可累及身体和四肢的任何部位,并随年龄增长以及对激素影响或创伤的反应而生长。当症状从Schöbinger临床II期进展到III期时,经导管和/或直接穿刺栓塞是减轻症状的侵入性较小且可重复的选择。栓塞的目标是闭塞动静脉分流,病变入路和栓塞剂的选择基于个体解剖结构和血流情况。由于复杂的血管解剖结构和发病风险,栓塞在技术上可能具有挑战性。因此,多学科管理对于AVM的诊断和治疗干预至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6bfd/10359173/070435919d30/2432-0935-8-2-0036-g001.jpg

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