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覆膜支架联合栓塞治疗复杂先天性下肢动静脉畸形：病例报告及文献复习。

Covered stent combined with embolization treatment for complex congenital lower limb arteriovenous malformations: case report and literature review.

机构信息

Department of Vascular Surgery, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610072, Sichuan Province, China.

出版信息

BMC Cardiovasc Disord. 2024 Aug 19;24(1):435. doi: 10.1186/s12872-024-04111-7.

DOI:10.1186/s12872-024-04111-7
PMID:39160486
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11331691/
Abstract

BACKGROUND

Currently, the treatment outcomes for complex congenital arteriovenous malformations (AVMs) remain unsatisfactory. This article reports on the utilization of an abdominal aortic stent graft, in conjunction with embolization techniques, for managing acute heart failure triggered by complex congenital arteriovenous malformations in the lower limb.

CASE PRESENTATION

We present a case involving a patient with congenital AVMs in the lower limb, who had suffered from prolonged swelling in the left lower limb and recently developed symptoms of heart failure. At the age of 67, the patient was definitively diagnosed with a complex congenital AVMs in the lower limb. This article delves into the practical experiences and limitations encountered in employing an abdominal aortic stent graft, coupled with embolization, to address acute heart failure caused by complex congenital AVMs in the lower limb.

CONCLUSIONS

Our article presents the initial report on the challenges and limitations encountered in treating acute heart failure triggered by complex congenital AVMs in the lower limb, utilizing a combination of abdominal aortic stent graft placement and embolization techniques.

摘要

背景

目前，复杂先天性动静脉畸形（AVM）的治疗效果仍不理想。本文报道了使用腹主动脉支架移植物结合栓塞技术治疗下肢复杂先天性动静脉畸形引起的急性心力衰竭。

病例介绍

我们报告了一例下肢先天性 AVM 患者，该患者左下肢长期肿胀，最近出现心力衰竭症状。该患者 67 岁时被明确诊断为下肢复杂先天性 AVM。本文深入探讨了使用腹主动脉支架移植物联合栓塞治疗下肢复杂先天性 AVM 引起的急性心力衰竭时所遇到的实际经验和局限性。

结论

我们的文章首次报道了使用腹主动脉支架移植物放置和栓塞技术联合治疗下肢复杂先天性 AVM 引起的急性心力衰竭时所遇到的挑战和局限性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a811/11331691/6d4e2aee9811/12872_2024_4111_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a811/11331691/b60f8a03fa3b/12872_2024_4111_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a811/11331691/8d12529c79c3/12872_2024_4111_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a811/11331691/59fb019b5df7/12872_2024_4111_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a811/11331691/6d4e2aee9811/12872_2024_4111_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a811/11331691/b60f8a03fa3b/12872_2024_4111_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a811/11331691/8d12529c79c3/12872_2024_4111_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a811/11331691/59fb019b5df7/12872_2024_4111_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a811/11331691/6d4e2aee9811/12872_2024_4111_Fig4_HTML.jpg

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Int Angiol. 2023 Oct;42(5):448-456. doi: 10.23736/S0392-9590.23.05111-8. Epub 2023 Nov 9.
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Microvascular proliferation in arteriovenous malformation of the hand worsens during pregnancy: a case report.手部动静脉畸形中的微血管增殖在孕期恶化：一例报告
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Successful management of an arteriovenous malformation with trametinib in a patient with capillary-malformation arteriovenous malformation syndrome and cardiac compromise.
成功应用曲美替尼治疗毛细血管畸形-动静脉畸形综合征伴心脏合并症患者的动静脉畸形
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Endovascular management of a complex high-flow lower limb arteriovenous malformation: Case report and literature review.腔内治疗复杂高流量下肢动静脉畸形：病例报告及文献复习。
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A Case of an Aggressive Intraosseous Arteriovenous Malformation in the Lower Extremity: Special Considerations for Diagnosis and Management.一例下肢侵袭性骨内动静脉畸形：诊断与治疗的特殊考量
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