MacErlean D P, Shanik D G, Martin E A
Br J Radiol. 1978 Jun;51(606):414-9. doi: 10.1259/0007-1285-51-606-414.
Arteriovenous malformations complicating benign bone tumours may not be amenable to surgical treatment either because of their extensive size and likelihood of recurrence or because of their location. Transcatheter embolisation may then be used either as the definitive treatment or as a prelude to safe surgical intervention. Patients presenting with arteriovenous malformations in association with polyostotic fibrous dysplasia and vertebral haemangioma are presented who were treated by transcatheter embolisation, using Oxycel and Gelfoam. A haemodynamically significant shunt was obliterated in one patient and in the other an excellent clinical response was obtained facilitating subsequent surgical management.
因动静脉畸形体积过大、复发可能性高或位置特殊,使其并发于良性骨肿瘤时可能无法进行手术治疗。此时,经导管栓塞术可作为最终治疗手段,或作为安全手术干预的前奏。本文介绍了通过使用氧化纤维素和明胶海绵经导管栓塞术治疗的、患有与多骨纤维发育不良和椎体血管瘤相关的动静脉畸形的患者。一名患者的具有血流动力学意义的分流被消除,另一名患者获得了良好的临床反应,便于后续的手术治疗。