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肺动静脉畸形栓塞治疗的最新进展

An Update on Embolization for Pulmonary Arteriovenous Malformations.

作者信息

Shimohira Masashi, Kawai Tatsuya, Ohta Kengo

机构信息

Department of Radiology, Nagoya City University Graduate School of Medical Sciences, Japan.

出版信息

Interv Radiol (Higashimatsuyama). 2023 Jun 3;8(2):56-63. doi: 10.22575/interventionalradiology.2021-0030. eCollection 2023 Jul 1.

DOI:10.22575/interventionalradiology.2021-0030
PMID:37485484
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10359166/
Abstract

Pulmonary arteriovenous malformations are abnormal connections between a pulmonary artery and a pulmonary vein that can lead to ischemic stroke and brain abscess due to right-to-left shunting of blood. Embolization is currently considered the first treatment option for pulmonary arteriovenous malformations owing to its minimal invasiveness. This review updates the indications and techniques for the embolization of pulmonary arteriovenous malformations and determines the persistence of pulmonary arteriovenous malformations following embolization based on the most recent literature.

摘要

肺动静脉畸形是肺动脉和肺静脉之间的异常连接,由于血液从右向左分流,可导致缺血性中风和脑脓肿。由于其微创性,目前栓塞被认为是肺动静脉畸形的首选治疗方法。本综述更新了肺动静脉畸形栓塞的适应证和技术,并根据最新文献确定了栓塞后肺动静脉畸形的残留情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/10359166/b1956a1606af/2432-0935-8-2-0056-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/10359166/e70e0c2cf947/2432-0935-8-2-0056-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/10359166/f877761a981a/2432-0935-8-2-0056-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/10359166/28cbcf54a8c0/2432-0935-8-2-0056-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/10359166/b1956a1606af/2432-0935-8-2-0056-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/10359166/e70e0c2cf947/2432-0935-8-2-0056-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/10359166/f877761a981a/2432-0935-8-2-0056-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/10359166/28cbcf54a8c0/2432-0935-8-2-0056-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c08a/10359166/b1956a1606af/2432-0935-8-2-0056-g004.jpg

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本文引用的文献

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Location of embolization affects patency after coil embolization for pulmonary arteriovenous malformations: importance of time-resolved magnetic resonance angiography for diagnosis of patency.栓塞部位对肺动静脉畸形线圈栓塞后通畅性的影响:时间分辨磁共振血管造影对通畅性诊断的重要性。
Eur Radiol. 2021 Jul;31(7):5409-5420. doi: 10.1007/s00330-020-07669-w. Epub 2021 Jan 15.
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Pulmonary arteriovenous malformations: what the interventional radiologist needs to know.肺动静脉畸形:介入放射学家需要了解的知识。
Radiol Med. 2019 Oct;124(10):973-988. doi: 10.1007/s11547-019-01051-7. Epub 2019 Jun 17.
3
Retrospective Comparison of Pulmonary Arteriovenous Malformation Embolization with the Polytetrafluoroethylene-Covered Nitinol Microvascular Plug, AMPLATZER Plug, and Coils in Patients with Hereditary Hemorrhagic Telangiectasia.
并存卵圆孔未闭和肺动静脉畸形的管理:序贯封堵一例报告
Eur Heart J Case Rep. 2025 Jan 29;9(2):ytaf045. doi: 10.1093/ehjcr/ytaf045. eCollection 2025 Feb.
遗传性出血性毛细血管扩张症患者肺动静脉畸形栓塞中聚四氟乙烯覆膜镍钛诺微弹簧圈、AMPLATZER 封堵器和弹簧圈的回顾性比较。
J Vasc Interv Radiol. 2019 Jul;30(7):1089-1097. doi: 10.1016/j.jvir.2019.02.025. Epub 2019 May 27.
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Long-Term Single-Center Retrospective Follow-Up After Embolization of Pulmonary Arteriovenous Malformations Treated Over a 20-year Period: Frequency of Re-canalization with Various Embolization Materials and Clinical Outcome.20 年期间肺动静脉畸形栓塞治疗的长期单中心回顾性随访:不同栓塞材料再通的频率和临床结果。
Cardiovasc Intervent Radiol. 2019 Aug;42(8):1102-1109. doi: 10.1007/s00270-019-02204-x. Epub 2019 Mar 18.
5
Where is the Origin of the Last Normal Branch from Feeding Artery of Pulmonary Arteriovenous Malformations?肺动静脉畸形供血动脉的最后正常分支起源于何处?
Cardiovasc Intervent Radiol. 2018 Dec;41(12):1849-1856. doi: 10.1007/s00270-018-2063-4. Epub 2018 Aug 22.
6
Pulmonary arteriovenous malformations: endovascular therapy.肺动静脉畸形:血管内治疗
Cardiovasc Diagn Ther. 2018 Jun;8(3):338-349. doi: 10.21037/cdt.2017.12.08.
7
Pulmonary arteriovenous malformations: diagnosis.肺动静脉畸形:诊断
Cardiovasc Diagn Ther. 2018 Jun;8(3):325-337. doi: 10.21037/cdt.2018.06.01.
8
Life-threatening hemoptysis: case of Osler-Weber-Rendu Syndrome.危及生命的咯血:奥斯勒-韦伯-伦杜综合征病例
Oxf Med Case Reports. 2018 Mar 22;2018(3):omx108. doi: 10.1093/omcr/omx108. eCollection 2018 Mar.
9
Usefulness of Hydrogel-Coated Coils in Embolization of Pulmonary Arteriovenous Malformations.水凝胶涂层线圈在肺动静脉畸形栓塞中的应用价值
Cardiovasc Intervent Radiol. 2018 Jun;41(6):848-855. doi: 10.1007/s00270-018-1876-5. Epub 2018 Jan 17.
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British Thoracic Society Clinical Statement on Pulmonary Arteriovenous Malformations.英国胸科学会肺动静脉畸形临床声明。
Thorax. 2017 Dec;72(12):1154-1163. doi: 10.1136/thoraxjnl-2017-210764.