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血管畸形的单次术前栓塞及手术切除：病例系列

Single-session Preoperative Embolization and Surgical Resection of Vascular Anomalies: A Case Series.

作者信息

Rajagopalan Aravind, Shah Nikhil, Reddy Narainsai K, Aronson Sofia, Yamada Akira, Rajeswaran Shankar

机构信息

From the Rutgers Robert Wood Johnson Medical School, Piscataway, N.J.

Division of Plastic Surgery, Ann & Robert H. Lurie Children's Hospital, Northwestern University Feinberg School of Medicine, Chicago, Ill.

出版信息

Plast Reconstr Surg Glob Open. 2024 Nov 18;12(11):e6302. doi: 10.1097/GOX.0000000000006302. eCollection 2024 Nov.

DOI:10.1097/GOX.0000000000006302
PMID:39559266
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11573328/
Abstract

Vascular anomalies encompass 2 broad classifications including vascular tumors and vascular malformations. The management of vascular anomalies is best approached by a multidisciplinary team. Surgical treatment can offer definitive treatment, but carries several risks such as intraoperative hemorrhage, recurrence, and collateral vascular formations from incomplete resections. Here, we present a case report of 3 patients with different vascular anomalies who were all treated by a multidisciplinary team including interventional radiology and plastic surgery. All underwent preoperative embolization before surgical excision, accomplished under a single anesthetic. Here, we discuss the surgical planning and overall approach to patients presenting with localized vascular anomalies and support the use of preoperative embolization with surgical excision under a single anesthetic as a treatment approach.

摘要

血管异常包括两大类，即血管肿瘤和血管畸形。血管异常的治疗最好由多学科团队进行。手术治疗可以提供确定性治疗，但存在一些风险，如术中出血、复发以及不完全切除导致的侧支血管形成。在此，我们报告3例不同血管异常患者的病例，他们均由包括介入放射学和整形外科的多学科团队进行治疗。所有患者在手术切除前均接受了术前栓塞，且在单次麻醉下完成。在此，我们讨论了针对局部血管异常患者的手术规划和总体治疗方法，并支持将术前栓塞与单次麻醉下的手术切除作为一种治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/f9ab1d2d942a/gox-12-e6302-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/4a723e224677/gox-12-e6302-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/e2bee0a3dfd9/gox-12-e6302-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/c4cd610be5ed/gox-12-e6302-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/d57197e7ddfe/gox-12-e6302-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/6aba07309b7d/gox-12-e6302-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/f9ab1d2d942a/gox-12-e6302-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/4a723e224677/gox-12-e6302-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/e2bee0a3dfd9/gox-12-e6302-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/c4cd610be5ed/gox-12-e6302-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/d57197e7ddfe/gox-12-e6302-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/6aba07309b7d/gox-12-e6302-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e86b/11573328/f9ab1d2d942a/gox-12-e6302-g006.jpg

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本文引用的文献

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Management of a Gluteal Noninvoluting Hemangioma With Glue Embolization and Excision.采用胶水栓塞和切除术治疗臀部非 involuting 性血管瘤
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ISSVA Classification of Vascular Anomalies and Molecular Biology.ISSVA 血管异常分类与分子生物学。
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CVIR Endovasc. 2018;1(1):22. doi: 10.1186/s42155-018-0028-y. Epub 2018 Oct 25.
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Combined approach to management of periocular arteriovenous malformation by interventional radiology and surgical excision.介入放射学与手术切除联合治疗眼周动静脉畸形的方法
Indian J Ophthalmol. 2018 Jan;66(1):151-154. doi: 10.4103/ijo.IJO_663_17.
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Interdisciplinary Management of Head and Neck Vascular Anomalies: Clinical Presentation, Diagnostic Findings and Minimalinvasive Therapies.头颈部血管异常的多学科管理：临床表现、诊断结果及微创治疗
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Venous malformations: clinical diagnosis and treatment.静脉畸形：临床诊断与治疗
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Epidemiology, diagnostics and treatment of vascular tumours and malformations.血管肿瘤和畸形的流行病学、诊断与治疗
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RASA1 mutations and associated phenotypes in 68 families with capillary malformation-arteriovenous malformation.RASA1 突变及相关表型在 68 例毛细血管畸形-动静脉畸形家系中的研究。
Hum Mutat. 2013 Dec;34(12):1632-41. doi: 10.1002/humu.22431. Epub 2013 Oct 10.
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A randomized controlled trial to optimize indocyanine green-augmented diode laser therapy of capillary malformations.一项优化吲哚菁绿增强型二极管激光治疗毛细血管畸形的随机对照试验。
Lasers Surg Med. 2013 Apr;45(4):216-24. doi: 10.1002/lsm.22136.